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Home My WebLink About15-16718 CITY OF ZEPHYRHILLS � ; 5335-8th Street (813)780-0020 18 ELECTRICAL PERMIT�'��"f1 23`"�`�� PERMIT INFORMATION . L C TION INFORMATION Permit#:16718 Issued: 11/04/2015 Address: Permit Type: ELECTRICAL MISC ZE HYRHILLS, 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: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 11/04/2015 Parcel Number: 12-26-21-002A-00500-0040 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOMEOWNER Name: SAMI SAMUEL & SACHER-BROWN TOM Addr: Address: PO BOX 3!�29 SPRING H�ILL FL 34611-3729 Phone: Lic: Phone: 352-650-42�22 Work Desc: UPGRADE SERVICE PANEL BOX APPLICATION FEES ELECTRICAL FEE 40.00 - - � INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER • " FINAL -- r , �c�`� G�?� `[ REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 2) 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 properly 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 properly. 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 ,I � � � ' CONT C - " PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER e��-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ; Date Received phone Contact tor Pertnittin Owners Name 5 Owner Phone Number a c�s'o y a Owner's Address �V J`7 SM �W�� L Owner Phone Number Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titlehotder Address JOB ADDRESS pl � �� Ff � ry LOT# � SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSfR 8 ADDlALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCitON Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK S Cf V � CI � (�� Up BUILDING SIZE Sp FOOTAGE HEIGHT �� Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION �JELECTRICAL $ O,OO AMPSERVICE Q PROGRESSENERGY Q W.R.E.C. �PLUMBING $ � /'/ �//l i �i� � lJ L QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � COMP C�/7�� /N��Ci SIGNATURE ,- / r�GlsreaEn Y/ N �E cUaREn Y/N R �d�� License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRET Y/N �d�� License# PLUMBER COMPANY SIGNATURE REGISTERED Y( N FEE CURRE� Y/N Address License# MECHANiCAL COMPANY SlGNATURE t�cis�aeo Y/ N FEE CuariEn Y/N Address License# OTHER COMPANY SIGNATURE aeGlsrer�D Y/ N FEE cUw�n Y/N Address Llcense# � IIIIIIIItllllllllllllllllllllllllllllllllllllllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit far new consWction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Slt Fence installed, . Sanitary FaciliUes&1 dumpster,Site Work Pertnit for subdivisiansflarge proJects COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/SJt Fence installed, Sanitary Fecilities 8 1 dumpster.Site Work Pertnit for ail new projects.All wmmercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required far all NEW construction. Directlons:• Fill out application completely. Owner&ConVactor sign back of application,notarized If over 52500,a Notice of Commencement is requfred. (AIC upgrades over 57500) •• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authwiang same OVER THE COUNTER PERMITfING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Drlveways-Not over Counter if on pubiic roadways..needs ROW � � ' NOTICE OF DEED RESTRICTIONS: 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 licensed 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 appiy for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or conUactors, he is advised to have the contractor(s) sign portions of the"contractor Biock"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTNTILITIES IMPACT APID RESOURCE RECOVERY FEES: The undersigned understands that Transporta6on Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, 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,will be idenfified at the time of permitting. It is further understood that TransportaUon Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupanc�'or final power release. 1f the project does not invoive a certificate of oCcupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with appiicable 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, have 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this applica6on is accurate and that all work will be done in compliance with all appiicable 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 will be pertormed to meet standards of all laws regulating construcGon, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulafions of other govemment agencies may apply 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, WeUand Areas and Environmentally Sensitive Lands,WateNWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatrnent, 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 wall construction,1 certify that fill will be used only to fill 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 properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,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 OWNER,I promise in good faith to inform the owner of the pertnitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air condi4oning, 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 violate,cancel,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 shall 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 Official 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. WARPIING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TVYICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LEfdDE O Atd ATTORNEY BE ORE RECORDING YOUR NOTI E OF COMMENCEMENT. FLORIDA JURAT(F.S.117. � � OWNER OR AGENT �U � CONTRACTO Subscribed and s om (or effi e o is Subscribed a o to o �rtned e I[-�{-!s by � s7 _ , � rr_��_ ��l1��1/ Wh �s/are.�e rsona y nown to me or ha have raduced o is/af e personally knq. to me or has/have produced �� 4/(��L2�sU'7Pr.4/ as iden6fication. �4 l�a-�1R� �+� as identification. ary Public Notary Public Commisslon No. Commission o. Name of lot� g'�,+,prfn��BOGES Name of Nota typed,printed or stamped :*: '�= Commissi ,� �°'' JACQUELINE :�; . , on#FF 150422 �l"��•�;� BO 2 �a: Ex ires December 12,2018 =*• �- Commission#� GES ,,�'�•P;;';°`�`` BonddThruTroyFainlnauranco �= F150422 900-385•7019 ;�,,.,,�;;: Expires Decenlber 12 a°�;4°`' Bonded Thru Tro Feln Insu�enoe OOp.O g8 Y 701D j � A DISCLOSDRE STATEA�NT FOR OWNER CITY OF ZF�FFIYRIiILLS BIIILDING DBPARTMls'NT I, have read and fullyr understand and agree to th� prav3sions af this iast�rumeat. The undersigned states aad affizms �hat he ar she is desirous of coastructiag, reaovatiag, adding to or reroofiag his or her own domicile, that he or ahe actually occupies, or will occupy by said damicile, and same is no� for reat, lease ar sa1e. That he ox she sha11 comply with the followiag conditioas: l. Tha� th� ocvner and he or she aloae shall act as the builder far all phase� of conetructioa. 2. That the owner wi11 comply with all prov3.sioae of the Ca.ty of Zephyrhille ordiaaaaes aad codes pertiaent �o the building. 3. That ia �he eveat variaus phase� of coastruction are subcoatracted, he will eagage oaly proper3y liceased stsbcoutrac�ars aad will persoaaliy supervise such work. 4. Tha� in �he eveat the Builda.ng Taspector shall require correctians to be made, the owaer will assume full respoasibility to iasuxe they are made, aad ugan completiaa will call far a reinspectioa before proceediag with the buildiag. 5. Tha� the awner shall aesume full respansibility far the coustruction aad wiZl aot expect supervi�ion of his work Erom �he City of Zephyrhills Suilding Departmeat. 6. Tha� prior to fiaal iaepec�ion aay additional feee, includiag reinspectian fees, must be paid in �ull. A writtea reques� from this oEfice shall coaatitu�e aa official aotice ta pay additiaaal fees. 7. Tha� the owaer shall comply with all City, State and FederaZ laws in regard �o soaial security, workatan's aampensation, lien laws, etc. , where applicab3.e. 8. That the owaer shall aomply witb: all the safety codes isaued by the Florida Industrial Commission. 9. Sta�e law requires construction to he done by lieensed contractars. You have applied �or a permit uader aa e�cemptioa �Ga that law. The exemptioa allowe you, as the awaer of yaur pzoperty, �a aet as your own cantractoz with certaia res�rictioas evea though you do aot have a licenae. You mu�t provide direct onsite supervisior� of �he construation yours�lf. Yau may build or improve a one-famiI.y or two-£amily resideace or a �arm autbuildiag. You may also build or improve a commercial buildiag, provided your costs do ao� exceed $75,000. The buildiag or resideace must be fcr yout awn use ar ocaupaney. It may nat be built or substaatially improved for sale or lease. xf you sell ar leaae a building gou have buiit cr substaatiall� impraved youraelf withia 1 year after the coas�ructioa ie complete, the law wi11 presume tha� you built or substaatially improved if �or sale or lea�e, which is a violatioa of this e�cemptioa. You may not hire an ualicensed persaa �o act as your caat�raetor ar to superviae people working on yaur buildiag. It is yaur responsibility to make sure tha� people employed by yc�u have licenses required by state law and by couaty or municipal licetssiag ordinances. You may aot delegate the respoasibility for supervisiag work to a licensed contractox who is not Iiaensed to perform the work beiag done. Aay� persan workiag on your building who is aat liaeased mu�t work uader your direct supervisioa aad must be emgloyed by you, whieh meaas that yau must deduct F.I.C.A. aad withholding ta�c and provi.de workers' compensatian for that employee, a],1 as prescribed by law, Your canstruc�iaa must comply with all applicable laws, ordinaaces, buildiag codes, and zoaing xegula ians. OWNER'S SIGN.�,'.�URE� ' DAT� f f�� ADDRESS � � ' � PHONE�'?C �� /� O "'r-1/�� WITNLSS PERMIT # Page 1 of 1 i • : Mike Wells Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, November 7, 2015 Parcel ID 12-26-21-002A-00500-0040 (Card: 001 of 002) Classification 08 - Multi-Family -fewer than 10 units Mailing Address Property Value SAMI SAMUEL B& Ag Land $0 SAC -BROWN OM Land $14,681 O-BQX_3729 PRT G HILL FL 3�6� i-37 9 Building $28,612 Physical Addr�s Extra Features $493 5525 23RD ST ZEP,HYRHILLS FL 335 -6811 L al Descri ti First 4 Lines) 7ust Value $43,786 SUB F-S-1/� F NW1/4 &SW1/4 Assessed (Non-School Amendment 1) $43,786 OF NE1/4 AKA M YINGLING PB 2 PG 16 NORTH 1/2 OF EAST 94.00 Ff OF TRACT 5 LESS SOUTH Taxable Value $43,786 7urisdiction Citv of Zephvrhilis Land Detail (Card�001 of 002) _ _��_, ____ _____^___.R - --._r__�� _.__�__. , Line �Use �Description� Zoning ! Units -��__-Type '! Price, �Condition;_ Value -- --�------ , 1 ; 0800 MULTI FAMT OOR2 �7,500.00 ,j __ SF__ � $1.85 1.00 ! $13,875 --- ---�-____----------- 2 � 0800 MULTI FAMT� OOR2 ( 2,370.00 � SF � $0.34 i 1.00 ; $806 Additional Land Information ---_._._____ _____f-------.--�---- - --- -- Acres � 0.23� � Tax Area ! 30ZH C de � X Res�dential Code� ZHLGLP2 � � � � � Buildina Information - Use 08 - Multi Family(4 or less Units per Building) (Card: 001 of 002) Year Built 1958 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plastered Interior Wall 2 None Flooring 1 Cork or Vinyl Tile Flooring 2 None Fuel Electric Heat Forced Air - Ducted . A/C Central Baths 2.0 Line � Description � Sq. Feet � Repl. Cost New --_�_�. �---�---___� - 1 I UCA ` 312 �j � $1,442 -----------_�..-___-�------------_��.._ --�----- -- 2 � BAS � � 1,547 � $71,936 ------..._------------___---�-------___— -------1------___�_.___—___--------�---�---_____ ___._.--- 3 � FST � 140 j $3,255 —____---------- -�---_-- - — -----___ ------ 4 � FOP ��---------76---------�---- �698 _,_` Extra Features(Card: 001 of 002)_ __`___ ____�_�___ � Line Descr�ption _ � Year T � Units�_,_j Value _ --- -�---------- —.._-----------�---.� _ ____----�_�_--:------ - __ _____ 1 ( CLFENCE f 1974 j_ _�_880____ _; _ 363 _�__._._._-------_--._ ____._,.---, -- � �-_�__ �----------_—_._.__--- �_� __------- 2 � UDU-M 1988 ; 1 $130 Sales Historv-See All 4 sales Previous Owner: SAMI SAMUEL B -------_--- ----.-.__-_-------�.__..__.----r-------.--.--_-------_______�._.�_�._____-.--,.�. _.___._.___._._._..._.__.,__.______-_ Month/Year i Book/Page i Type ; DOR Code ; Condition ; Amount ----- ---�----__-------. ___--�-------- -----------._---------- ------------- — __��_.__._�__ _ , -�� O1/2002 ; 4875 / 0618 � Quit Claim Deed ! f Improved ; $0 - - ---------- - _ �---- -_.�____--__.__.._.---;_____ -----_________ __., .__ _____--,-- -�._____.-.�_,______— 01/2002 i 4875 / 0593 � Warranty Deed � Improved ; $46,800 - --------- -?------------- ----- --- -'---�--------�----------- 01/2002 f 4875 / 0592 � Quit Claim Deed i a lmproved � $0 http://appraiser.pascogov.com/search/parcel.aspx?parce1=212612002A005000040 11/13/2015