HomeMy WebLinkAbout15-16773 CITY OF ZEPHYRHILLS
5335-8th Street
- � ' (813)780-0020 16773
ELECTRICAL PERMIT '
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16773 Issued: 11/25/2015 Address: 38027 10TH AVE
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: 2,400.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50:00 Date Paid: 11/25/2015 Parcel Number: 11-26-21-0010-06200-0080
CONTRACTOR INFORMATION ' OWNER INFORMATION �
Name: PATTIE ELEC. & REFRIGERATION Name: ZAVISZA, ROBERT
Addr: 39111 PATTI RD Address: 38027 10TH AVE I
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone: (813)428-4365
Work Desc: RELOCATE SERVICE FOR ADDITION SPACE 200AMP METER/COMBO TO FRNT HOME
� ' �� � APPLICATION FEES -
ELECTRICAL FEE ' S0.00
� '. INSPECTIONS REQUIRED �
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 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.
"Warnin to owner: Your failure to record a notice of commencement ma result in our a in twice for
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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.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application FaX-sas-�eo-oa2�
Buiiding DeparUnent
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Date Recelved Phone Contact far Permtttin -
Owner's Name �� "�� �/�"e� � Owner Phone Number
Owner's Address Owher Phone Number � �
Fee Simple Titleholder'Name � � Own�r Phon�Number � —�
Fee Simple Titieholder Address
JOB ADDRESS � � -C. LOT# C�
SUSDIVISEON � � PARCEL ID# / 1 J��--� -�J11 f Z7 G��O�C;�'-UC7C�V
(OBTAINED FROM PROPERTY TAX NOTICE)
WORIC pROPt}SED NEW CONSTR ADDIAIT � SIGh! Q Q DEMOLtSH
INSTALL e REPAIR
PROPOSEQ;USE Q SFR Q COMNI � tJTHER
TYPE OF CONSTRUC710N Q 84.00K ` Q FRAME � BTEEL Q
DESCRiPTION OF WORK � � c� �-`��f"' 6
BR3lLDlNG SIZE �� � SQ FOOTAGE�� HEiGHT ��
�8���"����' � � VALUATIONrG'►FTOTA�CONSTRUCTION
.J
E�ECTRICAI. $� ��� AMP SERVICE �p� Q PRQGRESS ENERGY Q W.R.E.G.
QPLUMBI►VG $�'— �
�
OMECNANlGAI �� VALUATION OF MECHRNICAL INSTA�lAT10N
QGAS Q ROOFilVG Q 3PEGIRLTY �� OTHER
FINISHED FL40R ELEVATIONS �� FLOOD ZQNE AREA [�YES NO
I
BUIl.DER COMPANY
51GNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N
�d�&$ License#
ElECTRICIAN. � COMPAFIY I`� -�L� �.� �{r � �¢.' � �
SIGNATURE REGIS7ERED Y/ N FEE'CURRE� Y/N
Addre�s � License# (����� /�tP���
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address license# �� � �
MECMRNfCAL COMPANIt
SIGNATURE REGI,STERED Y/ N FEE CURRE� Y/N
Address License# �� �
GITHER ` �p{y�ppNy
SiGNATURE REGISTERED Y/ N : FEE CURRE� Y/N.
Addres� Llcense# �^ ��
REStDENTtAL Attach(2j Rlot F.lans;{2)sets of Butlding Plans,{1}se#of Energy4Farms;R-0=W Perrrilt far new constructian,
Minimum ten(1,0}working days after subrriiktai date. Required onsite,Construction Plans;Stormwater Plans w/Sllt Fence installed,
'� --W" Sanitary FaciliBes:&1tdumpster Site Wor1c>Rermliforsubd(vislonsAarge projects----- - - - -- — -- -
COMMERGtAf. Attach(3)complete sets of Buildltig P1ans pius a Ltfe Safety Page;(1}set o#Energy Fomss.R O-W Permit tor new canstruetian.
Minimum ten(10}working deys after submittal date. Required onsite,CansUuction Plans,Stormwater Plans w/Sflt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Pertnit for all new proJects.All commercial requlrements must meat compliance
SI�N PERMIT Attach(2)sets of Englneered Plans.. : ,
, "'"PROPERTY SURVEY required for all NEW canstrucUan.
Dlrectians:
Fill out applicaUon completely.
Owner&Cor►tractor slgn back of applicaUon,notarized
If over�2500,a Notice.of Comrnencsment[s reqaired. {A�C upgrades over l,7500j
`" Agent(for the contractor)ar Powe"r of Attomey(for the owner)would be someone with natarized letter fmm owner authorizing same
.._ . .„ti-...:-�•.....,...>:.�._ .:.. _- _ . ._
DYER TFiE COtlNtER PERMiTTiNG ,; '_`{Front of RpPllcatioa:On1Y) -
Reroofsifshingles Sewers Service'Upgredes A/C�" "Fen'ces,(PIotLSurvey/Footage)
' Driveways•Nat aver Caanter if on;publia roadways:.neads ROW � . .
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NO'i'IGE C1�QEED RESTRICTIONS. Tt�e understgned nnder�tands°:t�t.thls:,pecmif..may be,subject fo"deed".,restr3ctlons" '
which may be<more'.r.estcictive�:th�n County��regulatlong:���TFie undersigned'assurries responsitiiltty for`comptlance�witfi any
appiicabie deed-resttictlons, , , . - •
UNLICENSED CONTRACTQRS AND -CtfNTRACTOR RESPONSIBILIT'iES: ��if the owner has��hired a contrac#or or
contractors to undertake work, they may be;requ,lred.#o be,licensed In accordance.with state.and�local,,regulations, If�the
contrac#ar ts not licensed as�requlred'by I�v, bath #he ovvtter atid�contractor�may bei�cited��for�a�misitemeanot violation
under state law. If the awner or Inte�ded�contractor. are uncertaln es ta what Iicensing.requirements,may�apply-�br�the
in#ended work.they are advfsed to cantacE the Pasca Couttiy 8uiiding_trtspeatian Dlvisiort-Llcens#}�'g Section a#?27-847-
8008. Furthermore, if the owner�has hired a contracto� or contractors, he is advised �ta have the contractor(s) sign
porNo�s of'the "aantractar Block" of this application far whlch they will be responsible. .If...you,.as..fhe owner�sign"as'the
contractor, #hat m�y be an tndication that he Is no#.prop�rly licensed and�9s no#entitled tc permftt#ng pilvileges in Pasco
County.
TRANSPQRTATION.iMFACTtUTti:ITlES CMPAC'1'Af�b-RESOU�tCE RECQVERY FEES:�The undersigned understands
that Transpartatian impact Fees and.Reca.urse Recove.ry.Fees may��apply�to°the construction of naw buildings,�change�of` �
use in ex�sting buildi�gs, or.expansion•of-�existing°�b"uildings, as specifled.in Pasco County Ordinance number 89-07 and
90-OT, as amended.,. T,he undetsigned also understands, that such fees��;.assmay:tie��due,;w3t1�,6e Identified at#he=time'of:`
permitting. It is furtfier understood that Transpo�tatfon Impact"Fees and wResowrce Recovery�Fees.mus# be pald prlar to
rece�ving a "cecki�icate of occupancy"�or flna14-pawerrelease.° :1#�the pro�ect.;does.not tnvotve<a_:certiftcate of occe4pancy or ° .
final power release;the.fees�must_be paid pcior.to permit Issuan'ce. F�i�thermore;�ff Pasco County 1Nater/Sewer•Impact _. �
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fees are due,they,must be-pald.prlor to permit-lsst�ance-in acicordance wltfi appltaabie Pasco'.Cour�ty oidinances. �
CON�TRUCTION CiEN�LAW(Ciiapter 713�Florlcla Statutes�as amended): {f valuation af work is$2,500.00�or more, i ;
certify that I, �he appliaant; have.been .provided with-a-copy-of the� mFlorida Constructlon�.Llen::Lav�—Hameowner's
�rotectlon Gutde9 prepared by the Florltia Departmer�f of Agrlc.ufture and Consumer.Affatrs. If#he appllc�nt is someone
other than the"owner", I certify,,that I have...abta(ned`a copy;of:the:above..described tlocument�and:pr.omise�in;g�ad faith to
detiver ft to the.'owner"f prior.to�commencement:'� -. , -. ' . "' .. .
CONTRACTOR'Si/OWNER'S AFFIaAViT: i certify that�all.th�:infonmatton ln=this appticatlon is accurate end that all work
will be done in campliance with all.applicable'laws regulating�constniction, zoning and�land development. Application is
hersby made to ob#aln..a pecmit to do. work.,and Instalia#ian as Indtceted:; '1 certify�tFia# na-work�or installatian has
commenced priar to Issuance of a permiiE"and that.all work will be perfarmed to meet standards of all laws regula#ing-
constructlon, Gaunty and Gity codes, za�nfng regulatlons, and land devetopmerit regulatEans-tn�the Jurisdic#ion. ! al'so
certify that 1 u�iderstand that the regulations of o#her government agencles may�apply�#o the intended work, and thak it ls
my responsibility to Identify�what.actions I must take:to bedn<.corr�p!lancs: S.uch agencles inalude but are.not Iim4ted to:
- Depart�nent of Er�wironmental-°Protection-Gypress.'Bayhead�, Vlletland Areas and Environmentalty Sensitive
Lands,Water/Wastewa#e�Treatment. C_
- Southwest Ftorida Water Management District WeHs� Cypress. Bay�eads; We#iand Areas, Altering
Watercourses.
- Army Corps af Englnee�sSeawa!!s�Docks,Navlgable Watetin+ays.
- Department of Health'& Ret�abititafiv.e_Sen►iceslEnviranmental Flealth Unit We�ll.s, Wastewater Treatment,
Septtc Tanks. � .
- US EnviTonmental Protectton Agency-Asbestos abatement.
- Federal Aviation.Authorlty-Runways.
!understand that the foilowing,ces#rictians app#y to the use af f!i!:
- Use of filt is nat allawed in Ftoad,:Zone"V"unless expressiy perrr�itted.
- If the flll materfal� is ta be used`in.:Flood Zone. "A"� It. (s understood that a drainage plan addressing a
"compe�sating volume"wilt be subr�lfted at#ime of permifting which is prepared by a prafessional engineer
Ilcensed by the State of Flor(da. � �
- !#the #iD material.ts to be used In F1oad Zone "A° in�connec�ion-w3th�a ysermltted baliding using stem walt
� construction, i certify that flll�:w�ll=b.e used only to.fill the area wlthin the•stem�wall,
- !f fi!! material is to be used In any area� F-certlty that .use af such�flA wlll not adversely affeat ad}acent
properties. if use af fili is found to adverse�y-�ffect adjaEent�praperttes,.the awner may be cited far vioi�ting
the condi#ions of the building-.permit Issued^under the at�ached permit application, far lots less than one {1)
acr$which are etevated�by fl[I,art engineerecf drainage pEan Is tequitecf. .
If I am the AGENT FOR TNE OWNER, I;:promise in good faith to inft�rrri'�tFie��owner of-#he permitting condittons set forth tn
this a�davtt�prlor to commencing constructian. i�understand thafi,a��separate permit may be requtred for elect�ca# work,
piumbing, signs, weiis,.paols; ai� conditianing, .gas, ar oti�er insfall�itPans not•specfficatly included�in.the appiication. A
permit issued shaU be constnued to be a license,ko proceed with the�wo�k and not as:authorlty to..violate� aancel. al#er, or .
set aslde any provis#ons of the technical-codes; nar shalt Issuence�of a.permi#.pr.even#the Bulldirig O#�lclal fram theceafter
requiring a correction nf errors in plans; constructfon or violations of eny cades. Every permi#Issued shall become invalid
unless the work aatho�iz�d by such permtt:�is.commenced within sf�months of perm{t Issuance, or If wock authorized by
the pemnit is suspended or.abandoned for a:periad of si�r{8)moMi�s after the time the�work is commenced. An extension
may be �equested, in writing, ftom the Building,Official for a period..not to exceed ninety(90) days and wiA demonstrate
just�iabie cause for-the extension: If work ceases:for nlnety{90}cons.ecufive.days,..the��ab�is considered abandoned.
V1fAR�tING TQ t?WNfR» YC1UR �AILURE�TO.,,RECC?!2D A.NQTIGE:OF�C4M19i11�MCEMEM'T MAY-RESULT IN YOUR
PAYING TWICE,FOR IMPROV,,EMENTS TO.YOUR:PROPERTY: IF°.YOU�INTE�D�'�TQ'OBTAIN��FIM�tANCING;�CONSULT_ _ -
WIT...11 �1 -6�!����?-d?._e - ��':�EE!- . b �4����:. �G+ ��i f�;, ��i :� ;C ,A � ;�, _ E CE NT
F�ORipA JURA;{F.S.1.'!7.03)
OWNER OR AOENT CONYRAGTp
Sabsaibed and swom#o(or af�rmed)befare me thts Subscrlbed and'swam ot af�rm �befarei me ttii§ �
by byj'
Who islare pe�sonally knovm to.me or has/have produced Who Islare pe ' �ta me ar has/have produced �
�s IdenUficatl�n. as identi�caUnn.
NoWry Public . � '�. Notary Public
Commtsslon No:°' Comt�issla o . �����
�d `',� Commission#FF 150422
Name a1`Notary iyped,printed or stamped Name of Nat �'q,; , r�� � '
,.� ..� nsa80638570t9