HomeMy WebLinkAbout15-16742� CITY OF ZEPHYRHILLS
F � � 5335-8th Street 167 �
(813)780-0020 �
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16742 Issued: 11/12/2015 Address: 6209 LINNET
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: 300.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 11/12/2015 Parcel Number: 02-26-21-0020-00300-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN & PATRICIA DIETERICH
Addr: 7141 BERRY RD. Address: 2168 WATERSIDE DR
ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764-6659
Phone: (813)782-7861 Lic: Phone: 813-715-2075
Work Desc: REPLACE ELECTRICAL POLE
APPLICATION FEES
ELECTRICAL FEE 40.00
.
INSPEC NS R Q IRED
ROUGH ELECTRIC ,
CONSTRUCTION POLE �
PRE-METER � -
FINAL � � - -
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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 T PER OFFI
PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
.
a « 8uilding Department
Date Recelved Phone-Contacf for Permittin —
Owner's Name �AG��� ` ( c�,.v�e ��c.�� Owner Phone Number
Owner's Address D Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number-
Fse Simple Titleholder Address
JOB ADDRESS 6 2 o q � L r N N�T LOT# �
sue�ivisio� PARCEL ID# � O Z. - 26 - Z l -- 0 0 Z a- 0 03Qd , po��
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH " �
INSTALL 8 REPAIR -
PROPOSED,USE Q SFR- Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK ` Q FR�4ME Q STEEL Q
DESCRIPTION OF WORK �'"�".S �(
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION�OF TOTAL CONSTRUCTION
�LECTRICAL $� , AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
ao . �ov
OPLUMBING $
QMECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SRECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address Lfcense#
ELECTRICIAN COMPANY ��'.r �L��7� �(� �LC
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Addresa l License# �-- C���2
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� ' Y/N
Address License# '
MECH/iNICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N .
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N.
Address License#
RESIDENTIAL Attach(2)FlotPlans;(2)sets�of:Bullding Plans;(1)set of Energy°Forms;R-0=W Pertnitfor new construction, "
Minimum tem(10)workingidays:after,submittal date: Required onsite,Constniction Plans;3tormwater Plans w/Silt Fence installed,
_ ' Sanitary EacilfUes&1,.dumpster,Site Work=P.ermit for su6divisionsAarge pro)ects - �
� COMMERCIAL� AtNach(3)complete sets of Building�Plans plus a Life Safety Page;(1)�set of Energy Fortns:R=0 W-Peimit fo�new aonstriiotion:'" .�-'
_----Minimum ten(10)working days after submittat date. Requtred onsite,Constructlon Plans,Stormwater Plans wl Silt Fence installed, � �\
� " Sanitary Facilitles&1 dumpster.Site Work Fertnit for all new projects.All commercial requlrements must meet compNance
SIGN PERMIT Attach(2)sets of Eng(neered�Plans._�.
""PROPERTY SURVEY required for all NEW construction.
Directlons: � � , ,-
Fill out applicatlon completely. ' i - �. �,
Owner&Contractor sign back of applicatlon,notarized � � � �' � `��y � ;
If over�2500,a Notice of Commencement is required. (AIC�upgrades`over,�57500) _ .�_., �`-;;�, � `; j�J� ..
.,�;�..
" /�qent(for ttie contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same �
DVER THE COUNTER PERMITIING �� (Front of Application;Only) -� . LL �` `- -"�= �•� � °':`•-...� v � .� _ . ,
Reroofs if shingles Sewers Service:Upgrades,ALC; . .Fences;(PIoUSurvey/Footage) . • • -� ���_� ��
.. , . ,.: . ��. � .� ..,.,�!; ,
Drlveways-Not over Counter if on public roadways..needs ROW � � f , " � � ' '""`� � -_-
.,. -. -.... .,,... .-. _*, ... ,,...., . f._. u..� . __ ,_ �.��,., _..
... .. ... ...,,,. _, =...-r.�.-.<,,. r =,r.. -,,�.,.
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NO'flCE OF DEEQ RESTRIGTIQNS: The underslgned undeirstands;th�#this:p�rmlt may be ssub�ect fo°deed"restricttons° �
which may be�more;restrictive�th�n Gounty'`regalatlons:"�Therundersigned'es`sumes responsibility for'compllance witti any
appltcabis.deed rest�lc#lons, ., . � . .
UNI�ICENSED CONTRACTCtRS AND CONTRACTCIR RESPONSIBILITIES: If-the awner has�fiiced �a contractor or
contractors to undertake work,they may be:cequ'Ired,:to:berlicensed In accordance.wlkh state.and:lacal regulatlans, ff�the�
con#ractor ts not licensed as requlredy6y lew� both the owner and contr�c#or=may be�c�ted-for�a'°mistlemeanar vlalation
under state law. If the owner or intendedjcontrr�ctot are uncertain as to wha# (tcensing.requirements may,apply�far'the
intended work, they are advlsed to co�tact the Pasco Caunty 8ulldfn�g EnspectRoii DlVislon--l.icensing Section at 727-647-
8009. Furthermore, if the awner has htred a cont�actor o"r`contractors, he is advlsed Ita have the cantraator(s) sign
portions of the "contractor Black" of this application for whtch they wilt be-responsible. .If you�=as-.the owner sign�as'tfie
contfaetor, tha#may be an 1nd#a�tlon that he #s �ot�.prape�� llcensed artd�is.�ot ett�tled;to pemiittit�gaprivileges in Pasco
County. �` �� �` ` .�
TRANSPORTATION;!#�PAGTIUT!l:IT1ES lMPAC`1'�ANb ItE3QURC@ RECOVERY�FEES:��Theunderslgned anderstands
that Trenspvrtatioh I'mp�ct'Fees'and.Re�Ca:urse�f�ecovery.Fees may,.appiy;to:the cons#r�ction of new buildings,e change�of' ` -
use in ex�sting buildi�gs, or,expansi�n�.of-ezistin,g°�b"uildings; as specifled.in Pasco�County Qrdinance number 89-01 and
SO-07. as amended. The uncfersigned alsaunders#ands, #hat�suah fees,:,asr-may_��e�<dne;,:wiil:�be Identi�ed at the time of -
permitting. It is furtfier unde�stood that Transpo�tation Impacf Fees and Resowrce Recoaery=Fees must be paid prio�to
rece�ving a "ce�fi�icate.of occupancy"ar#inaF-powerreleass: :If-the proJect.does:not invotve�a_.cert[ffcate of accupancy.oc°� �-
finai power release;,the fees�must be paid prior to permit issuance. F��thermore;-�if:Pasca��County�Water/Sewer�lmpact - �
fees are due�they>must be-pald-prior ta permlE=l�suance-in accordance witli appllcabf�Pasco'.-Coanty�ofdinances. �
CONSTRUCTION`LlEN LAW(Cliapter 713�Flortda Statutes�as amendedj: if vatuatlon af work is$2,500.00�or more, I - - .
certify that I, the applicant, have been .provided with-a-copy- of the°°Florida- Constructian:_Llen`:Lav�Hameowner's
Protect�an Gulde° prepared by_the Flor�da D"eparfine�tt of Ag�icutture and Consumer Affial�: If the appltcant ts someone P
other ihan the"ow�er", I certify thak;l,have,obtained�a�copy.of.the above..des.cribed document�and:promise in,good faith to ,.
deliver It to.the.°owner."r p�ior�.to�commencemerit:° . ,., � .. ... • .
CONTRACTBR'S/OWNER'S APfIDAViT: 1 ce'rfi[y_:that,ali.the�:information ln this applPcation is accurate and that ail work�
will'be done in compliance with all appUcable laws regulating�constivctlon, zoning and.land�develapment. Appltcation is
hereby made ta abt�ln..a permit #a do. work_..�nd instaltation a� Indt�ated:�:: ;1 cerl,ify #h'st na work'or #nstaltation has
commenced p�lor to Issuance of-a permiC and thaf.-all work will be performed�to meet standards of all laws regulating-
constructton, County and City codes, zoning regulattans, and tand devefapmer�t regula#ions�In the�urisdtction: �1 al'so
certify tha# i understand fhaf the regulatians of ather government agencles may apply�to the intended work, and that it is
my responstbility to identffy�what.acttons i must take to be�ln_.cor�p!lat�ce: S.uch agencles�include but are.not ilmited to. -
- Depa�#men# of E�vironmental�Pratection=Cypress`Bayheads, 111letiand Areas and Environmentaliy Sensitive
Lands, WatedWastewater Treatment. �
- Southuvest Ftorida Water Managemen#� .Dfs#rlct Welts, Cypress. Bayheads, Wettand Areas, AI#ering
Watercourses.
- Army Corps of Eng(neers�=Seawalls,flocks,Navigatite Waterways.
- Department of Health;'� Relaabiiitative S�rvices/Enviranmental Heaith Unit VNelis, Wastewater Treatment,
Septtc Tanks. ' _
- US Environmental�Pro#ec�ion Agency-Asbestos abatemen#.
- Federal Aviatton.Authorlty-Runways.
1 understand tt�at the following..�estrictlons appiy to the use of flll:•
- Use of fllt is not attowed in Flood�Zone'v"unless expressiy permitted.
- If the flll mate�ial is �to�be,usedr'In:�Fload Zone "A", it. Is under�taod #hat:a drainage plan addressing a
"compensating volume"wilt be submitted at#ime of permttttng�nrfiich Is prepared by a professionat engineer
licensed by#he�State-of Florida,
- If th� fiti material.is-to be used in Flood Zone 'A� tn�cannectior� w3th=a permitted bu�lding using stem wa�l
� construction, I cettify that fiil�wlll:bs used oniy.to.filll the area wtthln the�stem wait.
- If flll materlal is to be used in any area; 1 certli'y that .use. cf such fl1! �rlll not adversely aifect adJacent
properties. If use of flll is found to adversety.affect adjaEent�properties�.the owner may be cited for vioiating
the aanditions of the building,perm(t issued under the at�actied permit application� far lots less than one (1)
acre whlctr ate elevated by flll�a�t englneered dralnag�i plan Is requtred, .
If i am the AGENT FOR THE OWNER, I,;promtse In gaod faith to infarm the ownerof�the permttting condftlons set forth in
this affidavtt�prtor to commencing construcflon. ( uniierstand that.a�separate pe�mlt may be required for etectrical work,
ptumbing, signs, wetis, poots; air canditioning,.gas, or,other Install�tions no��spec�icatty included in.the application. A
permft Issued shalf be constcued to be a Ilcense�to-p�ceed with tFie work and not as:authoriiy to..violate� cancel, alker, or
seE aslde any provisians of#he techi�lcal codt�s; nar sha0 issu�nce�of a.permlt.pcevent the Build[rig t�tclat from thereafter
requirin.g a correctlon af errors in pla�s, canstruction or irlolatlans of any aodes. Every permlt issued shail become invalid
unless the work authorized.by such permft.ts-commenced w4thin s�C months of perm4t lssuance. or If work autharized by
� the permit is suspended or abando�ed for a period of six(H)mont�is:aftec the tlrne the�wotk is commenced. An extenston
� may be requested, in writing� from the Building.Officfal for a perlod.not to �xceed ninety(901 days and�wil! demonstrate
' just�iabie cause for.the e�ens3o�: If avark ceases:for niriefy{90)cans.ecutive day.s,_the�ab�is considered abandoned.
WARNING TQ QWNfR; YOUR.FAILURE.TO.,RE�C1�tD.A N4TIGE OF�GOMMENCEMEt+tT-NrAY R�SULIC tN YOUR
PAVING TWICE.FOR IMPROVEIIAENTS T�O. �OUT�PR�JPERTY. �IF°YO.U�INT�1D'�TG'OBTAIN�-�IIV�ANCING;'CONSiULT
�WA]' _ ..DUR TT - B RE.; �ECOR^�INC.��� _ R� _��' �' ',. ;� � � � _ ���.-�T.�--- ' — . . -- —
- Ftc������� .s:,� -- _-
0'mfVNER OR AOENT COIdTRACfiO
Who 4slare persona�lly knovm to.me�or has ave produced Who�arep.erso alty dcnown�me�°h�sm� �pro�duced���
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as Iden flcabon. as tden8fica8on.
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_'�--� Notery Pubila Notary Public
Gomml No:' �,�„�,�„ Com/
,�„�„�, '' : .
,yrpf/�;.,, JOEL E,BACON *';� Y�`.«: Commission�FF 137073
Name of tVatary , �. - � 29 2018 �tame of N =P
+ � '''..PF �Q.�` 8ondadTMuTmyFain su�arice860,385J0i9
.. •'h�'„PF�,°,�``, Bonded Tlw Troy Fain Inxurance Ba0�85�7019
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