HomeMy WebLinkAbout15-16770 CITY OF ZEPHYRHILLS
r �� _� 5335-8th Street �
(813)780-0020 16770
ELECTRICAL PERMIT
-PERMIT INFORMATION � ' �LOCATION INFORMATION
Permit#:16770 Issued: 11/24/2015 Address: 5734 19TH ST
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: 200.00 'Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 11/24/2015 Parcel Number: 11-26-21-0010-07800-0040
�' � � CONTRACTOR INFORMATION ' - : OWNER�INFORMATION - �
Name: REESE ELECTRICAL INC Name: BUCHANAN LENZY G & SHELBY A
Addr: P.O. BOX 862 Address: 8124 DAR LN
' ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS FL 33541-7526
Phone: (813)788-0091 Lic: Phone:
Work Desc: SAFETY INSPECT POWER REMOVE BY CODE ENFORCEMENT
, � ' APPLICATION FEES � ' ' - '
ELECTRICAL FEE 40.00
� �' � � � � INSPECTIONS REQUIRED .. � -
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
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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 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 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.
�V �
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. . ,- /
, �ITY OF / / / / BUILDIN�
ZEPHYRHILLS DEPAF;TMENT
OF ADDITION OR CORRECTION '
� • • - •
ADDRESS ( �� DATE PERMIT
� 7 3 � `� � ���-��- ��� �'� ��
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made bef re the job
will be accepted.
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,� �- �.�-�- `c
It is unlawFul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any paR of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR
, a�aaso-oo2o City of Zephyrhills Permit Application Fax 813-750-0021 �
Building Department
, � k
Date Received Phone Contact for Permitting -
Owner's Name tJG y �i 5� Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS 7 7 3� c1� �• LOT# �
SUBDIVISION. PARCEL ID# �` '01 b���•��l7'G �OC7 ' � D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �1 w�
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
LECTRICAL $ �vO �.> AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
.
QPLUMBING $ ��y�
� V
QMECHANICAL $ VALUATION OF MECHANICAL INSTACLATION V�
QGAS Q ROOFING Q SPECIALTY 0 OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUIL�ER - COMPANY - " - - -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN ,n r� R OMPANY� �`�'e�t ���'R��`c' Y/N
SIGNATURE �"v`�"�
� �
Address O e1� 6�. � �. S License# -� e,. � C�1 5 3 ,
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL 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)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects -
_COMMERCIAL Attach(3)complete sets of Building Plans plus a Life 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 du�npstQr.Site'WoFk Permit.for,all new projects.All commercial requirements must meet compilance
SIGN PERMIT ABach(2)sets of Engineered Flans: � " � ��
"••PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a tdotice of Commencement is required. (AIC upgrades ovar$7500)
" Agent(for the contractor)or Power of Attomey(for the owner),wou,ld be someone with notarized letter from owner authorizing same
_ _ : - - �
DVER THE COUNTER PERMITTI,NGy=;;;',:';"(F�ont,of Application�Only)-" �;
Reroofs if shingles Sewers � .=Service Upgrades:A/C `` Fences(Plot/Survey/Footage)
Driveways-Not over Counter if�on publio�roadway,s.�needs ROW _ , �
i
0�� �
. � �+- �
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 complfance with any
applicable deed restrictions. {- , �: ' , _, -- '.�
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL1TIES: If the owner has �hired a contractor or
contractors to undertake work, they may be required to be Iicensed in.accordance with state.and•local regulations. If the
contractor is not Ifcensed 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 Building Inspectlon 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 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
Counry. �' � `�` : � � • �
, ,
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact.Fees and-Recourse�RecovQ.'ry�Fees rriay apply to the construction of new bufldings, change of
use in existing buildings, or expansion of existirig 6uildings, 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, wfll 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 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�n►ith 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, have been provided with a copy of the "Florida"Constructfon Lien Law—Homeowne�'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"owne�"prior to commencement.
CONTRACTOR'SlOWNER'S AFFIDAVIT: I ce�tify that all the information in this application is accurate and that all work
will be done in compliance with all applicabte 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 y
commenced prior to issuance of a permit and that all work will be pertormed to meet staniia�ds of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ( also
certify that I u�derstand that the regulations of other government 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 inciude but are not limited to:
- Department of Environmental Protection-Cypress, Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment. ,
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls; Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Servlces/Environmental Healtfi Unit-Welis, 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 flll:�
- Use of fill fs 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 p'rofessional engineer
licensed by the State of Florida. -- � � � � - '
- If the fill material is to be used in Flood Zone "A° in�connection with a_�ermitfed building using,stem wall
construction,,I;,certify th'at:fill.will.be used only to.fill the area withim-the�stem wall: ` ° " - � -
- If fill material is to be used in any area, I certify that use of such fill wiil not adversely affect adjacent
properties. If use of flll is found to adversely affect adjacent properties, the owner may be cited for violating
ihe conditions of the building.permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by flll; an engtneered drainage plan is required. -
If I am the AGENT FOR THE OWNER, I,promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumb(ng, signs, wells, pools, air conditioning, gas, or other installations not specifically inciuded-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 Buildirig 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 eictension
may be requested, in writing, from the Building.Officfal for a period not to exeeed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,.th�job is considered abandoned.
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
-�!lI�H Y��lR-�E�IDER��-a4f�-e4?'TAR�IE�-E��PORE tt�CAR�IMG YOUR NOTICE'OF COMAAENCEMENT.__t- _ __ =__ _
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT ' CONTRA
Subscribed and swom to(or aHirmed)before me this Subscribed and swom (or affirmed)before me this
by �by
Who is/are personaily known to me or has/have produced Who ts/are personally known to me or has/have produced
as identlflcatlon, as(dendficaUon. i
Notary Public . - � Nofary Public
Commisslon No. Commissi o. fi�orseraoa��M,�,�
BIOZ'6Z aun�sa�idx3 :;o''°' i'%=
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Name of Notary typed,printed or stamped Name of Nolary ly d,printed o�ge�����, "%���1�,�,••