HomeMy WebLinkAbout15-16745 CITY OF ZEPHYRHILLS
� 5335-8th Street
' (813)780-0020 16745
� � � ELECTRICAL PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
Permit#:16745 Issued: 11/16/2015 Address: 38300 38302 HENRY DR
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: 2,000.00 Total Fees: 45.00 Subdivision: TYSON
Amount Paid: 45.00 Date Paid: 11/16/2015 Parcel Number: 02-26-21-0080-OOA00-0100
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: PATEL NARENDRA
Addr: P.O. BOX 251 Address: 6007 12TH ST
CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS, FL 33542
Phone: Lic: Phone:
Work Desc: REPLACE GFI,S & ADD SMOKE DETECTORS PER SAFETY INSPECTION
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS.REQUIRED
-ROUGH ELECTRIC
CONSTRUCTION POLE
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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
frst 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 pertormed in accordance with City
Codes and Ordinances.
ONTRACTOR PER OFFI
RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Carlyle Electric
P.O. Box 1299 Lic.# EC13007_516
. Crystal Springs, FI. 335Z4 Ph:�1_3-714-1469
City of Zepl�yrhills Building Dept., 11-3-20�5
Carlyle Electric is giving Charles B. McLemore, of nir Tech Services, the
authorization to pull permits on my behaff, as needed. If you have any
questions please give i�ne a call at �13-714-0469.
Carlyle Electric �
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Carlyle Huff��nan
3i°��rn�°L�: GALA B HAI�T
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, ''9'�oF,�.�:� EXPIRES February 27,2018
(407)398-0753 FloridallotaryService.com
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813-7eo-ao2o City af Zephyrhills Permit Application Fax-813-780.0Q21
- � Butlding Department
,.-_ -
Date Recefved + � '
Phane-Contaet far Psrmittin -
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Owner's Name . ���.,.. f Owner Phone Number
Owner"s Addrass �� -''~ � i�_---- _ - � --!, - ner Phone Number ���_ ��� a �
Fee Slmple 7ltleholder Name � Owner Pho Number �
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Fee Simple Titieholder Address
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JOB ADDRESS _ - - _�v Y� P+ LOT# C�
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SUBDIVISION PARCEL ID# ��— -a�- CX'���f}G --p i
(OBTAINED FROM PROPER7Y 7AX NOTICE)
WORK PROPt3SED � e NEW CONSTR ADD/ALT SIGN� Q Q DEMOLISH
INSTAU:
Pi20POSED.IlSE � SfiR Q COMM C� OTFiER
TYPE OF CON$TRUC710N ' Q BLOCK R [� FRAME �] STEEL Q
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DESCRIPTIOPI OF WORK �� 1Gs..0� �� � �" � �I�
BUILDING SIZE �� � SQ F007AGE�� HEIGH7 C��
OBUl1»DiNG � � VALUA710N OF TOTAL CONSTRUCTION .
�EIECTRICAl. $ ���� � AMP S�RVICE Q PROGRESS ENERGY Q W.R.E.C.
/
' QP�UMBING ($ � ��t��s
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QMECNANICAL $ VALUATION OF MECNA�+IIGA�tNSTA�LATtON
, QGAS Q ROOFINfa Q SPECIA�TY [� pTHER
! FINISHED FLOOR ELEVATIONS �_, � FLOOD 2QNE AREA QYES. NO
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BUILDER COMPANY
� SIGNATURE REGISTERED Y L N FEE CURRE� Y/N
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' Address L`icense# �� �
ELECTRlCiAN � COMPANY r� �� ���P_��
51GNATURE REGISTERED Y! N FEE CURRE� Y/N
Addres� �•� • r S ,(/t Llcense# �� ��(1(^}r�- `� l� �
PIUMBER CBMP.ANY
SIGNATURE :REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—� �
MECNANECAL COMPA,►NY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
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�Addrsss License# �— �
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O'FHER COMPANY i
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N '
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Address Licen'se# �
ttESIDENTIA4: Attach{2}PIot�Plans;�2}sets of�Building`Ptans;{1}set of Eriergy�Forms;R-O-W Permit far new canstructton,
Minlmum ten:(1.0)warking�days after._submittal date. Requi�ed onslte,ConstrucUon Plans;�Stortnwater Pla�s w/Sllt Fence installed,
Sanitary Facil[Uas.&1.dumpster$ite Work Permit for subdtvislonsflarge pro�ects � �
- .COi�1lME}2G1Al. Attach{3)r�omplete sefs'af Building Plans plus a'�.ife Safety Page;(1}set of Energy Forms.R-O-W Petmtt for new construatton. .
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SUt Fence installed,
Sanitary Fac!liUes&1 dumpster.Site Work Permit for ai!new projects.Al!cammercta!requfrements must meet compltance
St�N PERMIT Attach'{2}sets of Engineered Pians:
••`"PROPERTY SURVEY required for all NEW construckian.
Directtons: � . �` .a ..
Fill out applicatlon completely.
Owner E�Contractor sign back of applicatton,notarized
if over 52500,a Notice of Commencement is requlred, (I4lC upgrades over$7500)
'" Agent(for the contr'actor)or Power of Attomey(for the owmer)would be someone with notarized letter irom owner authorizing same
DVER 7HE COUtdTER PERMI'fTING (Front of Application Only)
Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIot/Survey/Footage)
Driveways-Not over Counter if on pubUc roadways..needs ROW
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NOTICE OF DEED ttE�TRICTIONS: The undersigned under�tands�that.this:pQrmit.may be.subject to,"deed"�re�trlcPons"
which may be�more�r.estcictive:than County-:regulallons. �The undersigned'assumes�responsibility�for compliance with a�y
appNcable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -Ifi th� owner has hired a contractor or
contractors to undertake work, 4hey rnay be cequired.:to be Iicerrsed In accordance.with state.and�Iocal regulattons. �If the
contractor is not Iicensed as cequlred��by law, both the owner and-contraator may be�cited for-a�misdemeanor violatfon
under state law. If the ovvner or Intended contractor�are-uncertaln as to what Ilcensing.requlrements,may apply�for�Qhe
int�nded work, they are advised to contact the Pasco County Bullding""Enspectlon Division—Licensing�Section at 727-847-
8009. Fu�thermore, if the owner Fias hl�ed a contracfor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this appllcation for which they wlil be responsible. ..If you,-as.the ovvner sign as the
contractor, that may be an indication that�he Is not.properly licensed and is not entitled to perrnitting privileges in Pasco
County.
' TRANSPORYATION IMPACTIUTILITIES-IMPAC7'ANb-RESOURCE RECOVERY�FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply�to the construction of new build(ngs,�change of
use in exisHng buildings, or.expansion•of�ezistin,g`�6uildings, as speclfled.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 identQfied at the time of
� permitQing. It is fur@Fier understood that Transportation Impact Fees and Resource Recouery'Fees.must be paid prior to
receiving a �certificate of occupancy" or flnal�powec.release. :If the project-does not involve.a:certificate of occupancy or
final power release; the fees must be patd prior to permit issuance. Furthermore;�if Pasco County Water/Sewer Impact
fees are due, they�must be-pald prEor to permit-issuance-in accordance wrlth applicable Pasco County�rdinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes,as amended): If valuatlon of work is$2,500.00 or more, I
certify that i, the applicant,, have-been provided with- a copy� of the "Florida Construction Lierr_Law=Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and ConsumerAffairs. If the applicant is someone
other than the"owner", I certify that i have obtain�d�a copy,of.the above..described document°and.promise in,good faith to
deliver It to the°ownec"prior to�commencement: `
CONTF3�►CTOR'S/OWNER'�AFFIDAVIT: I.ceMify.that-all the�;lnformation.,in th15 application is accura�te and that all work
will�be done in compliance with all.appiicable'laws regulating constructlon, zonfng and�-land development. Application is
hereby made to obtaln .a permit to do work and instailatlon as indlcafed.� I certify that no work or installation has
commenced prior to issuance of a�permlt and that�all work wili be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulations-in the jurisd(ction. I also
certify that I understand that the regulations af other government agencies may�apply�to the intended work, and that it is
my respvnsfbility to identify��what:aotions I must take to b�,in:.corrlpllance: S.uch agencies include but-are not Ilmtted to:
- DepartPnent of Er�vi�onmental-�Protection-Cypress.'Ba'yliead�, Wetland Areas and Environmentally Sensitive
Lands, WateNWastewater Treatment.
- Southwest Florida Water fv4anagement Distrlct-Welis, Cypress. `Bey.heads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engfneers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabi8tative Senrices/Environmental Health Undt-Wells, Waste�tater Treatment,
', Septia Tanks. _
- US Environmental Protectlon Agency-Asbestos abatement. _
- Federal Avlatton Authority-Runways.
I understand that the following.restrictions apply to the use of flll:
- Use of fill Is not allowed in Flood Zone°V"unless expressly permitted.
� - If the flll material is to be used_ in �Flood Zone "A", It. Is understood that a drainage plan addressing a
°compensating volume" will be subr�itted at#ime of permitt(ng which is prepared by a prof�ssionai engineer
Iicensed by the State of Florida:
- If the fill material is to be used in Flood Zone "A" ins connection�with.a perm(tted building using stem wall
construction, I certify that fill•:will=be used only.to.fill the area within the�stem wall.
- if flll material is to be used in any area, I certify that use. of such flll will not adversely affect adjacent
propertfes. If use of flll is found to adversely_�f�ect adJacent properties, the owner may be cited for viofa4ing
the conditions of the building.permit issued under the attached permit applicatfon, for.lots less than one (1)
acre which are elevated by fill, art englneered drainage plan is required. .
If I arn the AGEPIT FOR TF1E OWNER, I,�promise In good faith to inform the owner of the permftting conditions set forth in
this affidavit pr(or to commencing construction. I understand that a-separate permtt may be requlred for electrical work,
plumbing, signs, wells, pools, afr conditioning, .gas, or other Installattons noQ•speclffcally included-in the application. .A
permit Issued shall be construed to be a license to p�oceed with the work and not as:authority to.violate,cancel, alter, or
set aside any provisions of the technicai cod�s;�nor shall (ssuance�of a permlt.prevent the�ulldfrig Offictal from thereafter
requiring a correction af errors in plans, construction or vlolatlons of any codes. Every permit issued shall become invalid
unless the work authorized by such permit.�ls.commenced withfn sfx m.onths of permit issuance, or If work authorized by
the permit is suspended or.abandoned for a petiod of six(8)montF�s after the time the�work�Is commenced: An extension
may be requested, in writing, from the Building.Official for a perlgd.not to exceed ninety�(90) days and will demonstrate
justi�able cause ior the extension. If work ceases.for ninety(90)cons.ecut(ve daysr..th�)ob�is.considered abandoned.
WARNIIdG TO OWNER: YOUR.FAILURE�TO.�REC.ORD A NO'TIC� OF COMMENC@MEN7' II�AY RESUlY IN YOUR
PAXING TWICE FOR IMPROVEMENTS TO YOIIR;PROPER-TY. IF°.YO.t1,IN�TEND`TO O�7'�CIN�PIN�ANCIIVG,'CONSULT
_ _tP�ITH�AIJR LEHDERIOR AN ATfORNEY��fPOR�-RECOR�DING YOUR�NOTIC�'OF COMM@NCEMENT'
FLORIDA JURAT(F.S.117.03) � � - - _
' OWNER OR AGENT CONTR/�CTOR
Subscribed and swom to(or aRirmed)betore me this Subscribed and'swom to(of affirtned)�before me tfits
by •by
Who Is/are personally known to.me or has/have produced Who_Is/are personally known to me or has/heve�produced
as Identlficatlon. as IdenBficaGon.
Notery Public . Notary Publlc
Commisslon No:,�. Cammission.No.
Name oI Notary typed,printed or stamped Name of Nolary typed,printed or stamped
CiTY AF j j � / BU1LDlNQ
ZEPHtiPRHiLLS . DEPARTMENT
C,�F ADDiTit�►N C3R ��3RRECTIC�N �
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ADDRESS , D ?E PERM1T�r, ����
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THiS JOB HAS NfJT BEEN CaMPCETED. The fallowing odditions or corrections shall be made befar�th�job
wil! be accepted.
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�t is untawiut tor any CarPenter,Gontractor,Bu�der,or other persans,ta � AFTER CORREC IONS ARE MADE CAL�
cover or cause to be cavered,any part af the work with floonng,lath,earth 7$0-002Q FUR RE-INSPEGTIQN
or other mate�ai,unti{the proper inspector has had ample time ta approve
; the irtstallaCton.
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OFFICE HOURS 7:30 AM-5 PM MON.-FR�. lN�PECTQR
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