HomeMy WebLinkAbout16-17188 CITY OF ZEPHYRHILLS %
-� `�' S335-8th Street
(813)780-0020 7188
� ELECTRICAL PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:17188 Issued: 3/21/2016 Address: 38818 SOUTH AVE
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: 500.00 Total Fees: 40.00 Subdivision: MOORES FIRST ADDITION
Amount Paid: 40.00 Date Paid: 3/21/2016 Parcel Number: 14-26-21-0010-00300-0160
CONTRACTOR INFORMATION OWNER INFORMATION -
Name: PATTIE ELEC. & REFRIGERATION Name: 38818 S AVE DUPLEX LLC
Addr: 39111 PATTI RD Address: 3752 COPELAND DR
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33542-8405
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACE METER CLIPS
� APPLICATION FEES - .
ELECTRICAL FEE 40.00
INSP ONS UIRED
ROUGH ELECTRIC
CONSTRUCTION POLE � /� •
PRE-METER i/ �,
FINAL " �' '
. .�� �' 33
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.
CONT CTOR � -� - PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED , , � - � - -
PROTECT CARD FROM WEATHER � =�
a�a-�so-aeza Gity of Zephyrhills Permit Application Fax-813-7$0-0021
Building Department
� ,� i .
Date Recelved ��!r � � Phone Coniack for ParmftNn
Owner'�Name Qwner Phone Number '
Ownar's Address 3 ��� � �C'�"�'� ���" Owner-phone Number �— �
Fee Slmple Tltleholder Name � � Owner Phone Nusnbar � �
�
Fee Slmple Titleholder Addr+ass "
JOB MDRESS ���� �a�'ti'�`"`' �� � LQT# C��
SU9DIVISION � I PARCEL ID#
(BBTAiNED FROM PRdPERTY TAX NOTICEj
WORK PROP03ED � NEW COt�STR ADD/ALT C� S1GN' [� Q DEMOLISH
e INSTALL 8 REPAIR
PROPQSED USE Q SFR a COMM Q QTHER
TYPE OF CONSTRUC7'ION Q BI.00K ' Q FRAME � STEEL Q
DESCRIP110N OF WORK �C=�,0.G�'. ��.fie r (,_,'.�t p5
BUILDING 31ZE � �� SQ FQOTAGE C_� HEIGHT C_�
QBUlI.QING $ �" _
1w f.�1..� VALUATION�OF TOTAL CONSTRUCTION
QELECTRICAI � � AMP SER1tiCE Q PROGRESS EidERGY Q W.R.E.C.
QPLUMBING ��
QMECHANICAL $ VALUATlON OF MECHANlCAL INSTALtATiQN ��
��
� � jf��
OGAS �] ROOFING [� SPECIAI.TY Q OTHER ; ��`�
FWISHED FLOOR ELEVATIONS FLQOD Z�NE AftEA QYES. NO �
���
BUIl.DER COMPANY
SIGNATURE REG157ERED Y! N �e cu�n Y!N
Address License# � �
ELEC7RICIAN �L���\-f' COMPANY G CC�'" (/'l^ ,.Q j/' -U{f
SIGNATURE K ftEGISTERED , Y/ N FEE GURREf� Y t N
Address �l,lcense# �(� �d�����
PLUMBER � � CQMpANY
SIGNATURE � REGISTERED � Y/ N FEE CURREI� Y/N
Address License# � �
MECHANICAL � COMPANIf
SICiNATURE REGISTERED Y/ N FEE CURREA Y!�N�
Address �icense# I �
OTHER CQMPANY
SII3NATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres� l.icense# � �
RESIDENTIAL Atkach(2):PIot�Plans;.(2)sets:ofBullding Plans;(1)seE of Eneigy�Forms;R-0=W_Perinit for new..construcfion,
Minimum:ten:(1.0);working,days_after,�submittal date. .Required onsite,ConstivcHon•P1ans;Stortnwater Plans w/Silt Fence installed,
Sanitary Fac�litles�&:4;dumpste,r,S{#e;Worlc:Rermit for"sutidivislons�arge projects� �• .`f ' '
COMMERCIAL Attach(3)cornplete sets af Bullc!!ng`Plans plus a l.ife Safety Page;(1)se!of Energy Forms.R-O W Permit tor new constnsctlon.
. IVlinimum ten(10)working days after submittal date. Requfred onsite,ConsUucBon Plans,S#ormwater Plans w/Siit Fence installed,
Sant#ary Facliitles&1 dumpster.Site Work Permit for aA new projecfs.All cammerclal requirements must mest compitance
SIGN PERMIT Attach"(2)`ssks of Englneered Plans.__: :�.
""PROPERTY SURVEY repuired for ail NEW construcUon.
Dlrectlons:
FIII out eppllcation completely.
Owner 8 Contractor slgn back of appitcatlon,notarized
it over�2540:a Notfce of Commencement is requlrad. (AtC upgrades ov�r$7500)
" Agettt(for tlse t�nVactar)or Power of Attori�ey„(for the.owner).wouid be someone with natarized leiter from awner autharizing same
QVER THE COUNT€R P�RMlTtJNG e: �{Front�df ApplEcatiari Oniy)� .
Reroofs if shtngles Sewers, Service Upgrades A/C Fences(PIoUSunreylFootage)
D�lveways-Not over Counter-If on pub4ic road+ivays..needs ROVN �
: ,., _
NOTICE OF DEED RESTRIC`CIONS: The undersigned undergtands;that this;p�rmOt.maybe.subJect to,"deed"resVictlons"
which may.be�more_�rest�Ictive-�th�Fl�Gounty.�regulatlons. �The'und�rslgned`"assumes-respo�islbiltty for compliance with any
appNcable deed restrlctions. -
UMLICENSED CONTRACTORS -AND CON'�RACTOR RESPONSI�IL-ITIES: If the owner has -hired a a:ontractar or
contractors to unde�ake work, th�y may:be r.e,quired�to::be>Ilcensed In accordance.with state.and=local.regulatlons. If the
con4ractor Is not 9tcensed as�requlred�°by law, both the owner and-�conVaeto�-m�y be�cltec9�for a��misdemeanor violatlon
under state law. If the owner or intendedt contra�tor.;are-unce�taln as to what Iicensing.requlrements may:.apply,�for.the
intend�d work, they are advised to contact'the Pasco County Bullding Inspectlon Dfvislor�—Llcensing�Section at 727-847-
8009. Furthermore, If the owner has hl�ed a contractor or contrectors, he (s advised to have the contractor(s) sign
portions of the "contractor Biock" ofi�this applbatlon for which they wlll ba responsible. If.you, as.the oviiner"'slgn a§�the
co�tractor, that may be-an indication that he is not�.properiy Hcen�ed and is not entitled to pertnitting prlvileges in Pasco
County. � '
TRANSPORTATION-IMPACTIUTILITiES�IMRAC't'�AND�RESOURCE RECOVERY FEES: The undersignect�understands
4hat Transportatfon Impact Fees and.Reco.urse Recove.ry.Fees m�y�,apply,�.to:the constndction of new buildings, change-of
use in existing buildings; or-:expans(on:�of�extstiri��buildings, as speclfied fn Pasco County Ordlnanc� numb�r 89-07 and
90-07, as amended.,_The undersigned �Iso-unders4ands, that.such fees�;as,may�be:due;;;will:be identified at the�time�of
perra�itting. It is ii�rtPoer undarstood that Transportation Impact Fees and�Resource Recovery��Fees must be paid prlor to
receiving a °certificat�..of occupancy" or flnal�power:release. :If�the project,does.not Invoive:a certificate of occupancy or
final power release,.the fees mu�t be paid prtor to permit Issuance. Fu�thermore;•�if Pasco County Water/Sewer-Impact
fees are due, they�_must be-paid.pnlor to permit•Issuanc�-�n accordance with applic�ble Pasco�County ardinances.
CONSTRUCTION`L'IEfd"LAW(Ctiapter 713� Flor�da St�tut�s�a�amend�d): �f�valuation of work is$2,500.00�or more, 1
certify that I, the applicant, h�ve-been provided with a copy of the "Florida��Constnaction� L(en Law—Homeowrner's
Protection Guide" prepared by the Florida Departmenf of Agrlc,ulture and Consumer Affalrs. if the applicant fs someone
other than the"owner", I certify that l have.obta6ned'�a copy,of�he above..described docuirient°and.p.r.omise in,good faith to
delive�it to the'owne��prior���cornmencement: ,
CONTR�ICTOR'SIOWOVER'S AFFIDAVIT: I ce,rti[y.that.ail the,lnformation ln�thi.s�pplicatlon 3s accurate and that all wark
witl�be done in compliance writh all applicable laws regulating constructlon, zoning �nd land�deveiopment. Applicatlon ts
hereby made to obtain .a permit to do work.:and Installatlon as Indlceted.�. I certify that no work.or tnstallatton has
commenced prior to issuance of a permit and that.all work will be pertormed to m�et standards of �II laws regulaking-
construction, County and City codes, zoning regulatlans, and land development tegulations�in the �urisdfction. ( also
certify that 1 uaderstand that the regulations of other government agencies may�apply�to the int�nded work, and that it is
my responsibili�+to id�ntify•what.actQons I must take:to be,ln:.complianc�: S:uch agencles Include but-are.not Iimited to:
- Depa�tmant of Er�vironmental'Protection=Cypress. Bayhead�, Wetland Areas and Envtronenentally Sensttive
Lands,WeteriWa�tevvater Treatment.
- Southwest Florlda Water Management� :District-Wells, Cypress."Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Fiealth� 8 Retaabilitative Servic�slEnvironmental Health Unit-Wells� .Wastewater�Treatment,
Septic Tanks. ,
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authority-Runways.
I underst�nd that the 6ollowi�g�re�trictions apply to the use of flll:•
- Use of fill is not allowed in Flood�Zone"V"unless expressly permitted.
- If the fill materlal Is to be used.�in �Flood Zone. "A°, It. is understood that a drainage plan addressing a
"compensating volume" will be submitted at#ime of permitt(ng whlch (s prepared by a professional engineer
Ifcensed by the State-of�Florida.
- If the fill materlal .i`s to be us.ed In Flood Zone "A" in�connectfon�wlth:a p�rmitt�d building using stem wall
conatructton, I certify Qhat flll:w111:be used only.to.fill the area withlro 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 �dverseiy.,�ffect adJ�cent��properties,.the owrner may be cited for violating
the conditions of the�b�llding�;permit Issued under the at�acfied permit application, for lots less than one (1)
acre which are eledated�by�ilil; �n engineered drainage plan is required. .
if! am the AGENT�OR TWE OVHNER, I�promise in good falth to Inform the owner of the permi�ting condltlons set forth In
this affidavit`prlor to commencing construction. I under�tand that a�separate perreilt may be requtred for �lectrical work,
plumbing, signs, weils, pools, afr conditloning,.gas, or otl�ec installations no�•spec�flcally included-in the application. .A
permit issued shall be constcued to be a Iicense:to proceed writh the work and not as:authority to,violat�,�cancel, alter, or
set aside any provisions of the technical.codeis;�nor shall issu�nce�of a perrtolt.prevent the Bulidirig Of�ic(al from thereafter
requirin.g a correcfion.af eRors In.plans;consttuct0on or vlolattoros of any codes. Every pernnit issued-shall become invalid
unless the work authorized.by such permit Is.comm�nced•with(n sUc months of permit issuance, or if work authorized by
the permit is suspended or.abae�doned for a:period of�six(8)months.after the time the�work ts commenced. An extension
may be requested, in writing,.from the Buflding;Offlcial for a perlod.�not to.exceed ninety�(90) days and will demonstrate
justifiable cause for:the extension. If wrork ce�ses,for ninety(90)consecutive:days,..the Job�is considered aba�doned.
WARNING TO OWNER: Y�Ul�.FAILURE Tl?..RE.COl�Q,A NOTIGE OF-COMMENCEMEPtT:MAY�°RESULT IN�YOUR
PAYING'TWICE FOR�IMPROVEMEId.T�=TO_YOUIt:�.PROPERTY. IF�YOUxI1V��END�:T��OBT�AIN•-FINAI�CING;�CONSULT
�!lETNJ 1fA�L . D O. AµATTO N .� FO13E�. ° O � G.; O '� � �� �:O .' • � C�E N
FLORIDA JURA'�(F.5.1.17A3)- --- -- — ---- -- - ' -- -- - }�_— - -_
OINPEER OR AOENT CONTRACTO �
Subscribed and swom to{or aflirmed)before me thls Subsalbed and'swom to(o affl edpbefore me thi�
by 5-2/-1� .� /
Who Is/are personally known to.me or ha�ihave produced Who:is/ere rsonaliy' own•to me or has/heve-produced
as Identlflcatlon. � as IdentlBcatlon.
1, -
Notery Public �. �-f'. ��. � .�--� Notary Publlc
Commisslon No.' Comr�laslo o. .,�'��iY e�%a•-,
:+�' ';.: Commission#FF 150422
��:
Name oI Idotary typed,printed or stamped Nam�of Notary type �7� ��Y 3f9lO�BE{Tray Fain Insurence 800•385�)019