HomeMy WebLinkAbout15-16787 CITY OF ZEPHYRHILLS
�r n 5335-8th Street
� (813)780-0020 16787
ELECTRICAL PERMIT
- -. PERMIT'INFORMATION � � � LOCATION INFORMATION � � `
Permit#:16787 Issued: 11/30/2015 Address: 4630 CHARTER ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range: �
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. F et: Est. Value: Book: Page: 'i
Cost:��� Total Fees: 40.00 Subdivision: EDGEWOOD '
Amount Paid: 40.00 Date Paid: 11/30/2015 Parcel Number: 14-26-21-0270-00000-0330
CONTRACTOR INFORMATION' - OWNER INFORMATION-
Name: PATTIE ELEC. & REFRIGERATION Name: MEYER JANICE
Addr: 39111 PATTI RD Address: 5551 ANTIGUA DR
ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33541-0780
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACEMENT OF WIRE BURNT OUTSIDE NEAR POLE
- - APPLICATION FEES
ELECTRICAL FEE 40.00
I
- . . INSPECTIONS REQUIRED -
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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.
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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
s�s-Teo-oo2a City of Zephyrhills Permit Application Fax-813-�80-0021
--=a Buitding Department
Date Recelved Phone-Ca»tact for PermittFn
� Owner's Name 3 ..Q ��<<''e �y Owne�Phone Number
� Owner's Address �- (..� �. �(� Owner Phone Number � �
Fee 5lmple Tltleholder Name �� � � Owner Phone Number � I
Fee Simple Titleholder Addresa
JOB ADDRESB �' �" �� LOT# ��
SUBDIViSiON � � PAttCEL IC3# "l � -�'! J����`��J���
(OBTAINED FROM PROPER7YTAX NQTICE)
WBRiC PROPt}SED NEW CONSTR ADDlALT �� S1GN Q Q DEMOIISM
INSTALL 8 REPAIR
PROPOSED;USE Q SFR Q COMM [� QTHER
TYPE OF CONSTRUCTION Q BI.00K "' Q FRAME � STEEI. Q
pESCRIP'i'ION OF WQRK � t (.,,�} � �
BUtIDING S#ZE SQ FOOTAGE[� MEIGHT �._�
QBUt� IiUG $ - �� � •
�i � � VALUATION OF TOTAL CONSTRUGTION
,..,__ „ .�.J
ELECTf21CA� $ �";�--���� AMP SERVICE Q PRQGRESS ENERGY Q W.R.E.C.
[�FLUMBING ��� �1 l� (�' � ��Q�
'�i'li'�l �J
�"
; OMECHANlCAI �� VALUATlUN OF MECHANtCAL li+1STAL�ATION �
OGAS [� ROOFiF�tG Q SPEGIALTY �,� QTHER ���`
' FINISHED FLOOR ELEVATIpNS �� FI.00D ZQNE AREA C]YES NO
BUtlDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �- �
ElEC'i'E21CtAN G������ COMPANY �
SIGNATURE ,��_y ^� �'t'� � °� Yt t�- �'�
REGISTERED Y/ N FEE CURRE� Y/N'
Address License# ������� �
�'��M��� COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address Licanse# � � �
MECHANIGAL COMRANY
SIGNATURE REGISTERED Y,/ N . FEE CURRE� Y/N
����g$ License# �- �
t�THER C�NIPANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Address ' License# � ]
RESIDENTIAL, Attach(2)Plot Plans;(2}sets af-Building Pians;(1}sef of Eriergy�Forins;F2-0=W Pecmit for`new c�nstruction,
Minimum,ten(1.0).workjng;days after submittal date. Requlred onsife,ConstrucHan Plans,Stortnwater Plans w/Silt Fence fnstalled,
" Sanitary FaciltUes,&1;dumpster,Site Work Rertnit for subdivision§Aarge pro]ects '
COMMERCIAC. Attach{3)cari�plete se#s of Bu3ld�rig Plans ptus a l.tfe Safety Page;(1}set of Energyr Fanns.R O•W Permit for new construcBan.
Minimum ten(10)worlcing days'after submittal date. Required onsite,CanstrucUan Plans,Stormwater Ptans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Slte Work Permik for all new proJects.All commercial requlrements must meef compliance
SIGN PERMIT Attach"{2)sefs of Erigineered P1ans.._ _ �
"'"PROPERTY SURVEY required far all NEW constructlon.
Dlrec#ions:
Fiil out applicatlon complstely.
Owner 8�Contractor stgn baok of appltcado�,notarixed
If over�2504,a Notice af Commencement i�reqaired. {NC upgrades over ST500)
'" Agent(for the contractor)or Power of Attomey(far the owner)wauld be someone with notarized letter from owner authorizing same
OVER THE CCtl3NTER PERMITI'ING - •{Front af Apptleation Only}
Reroofs If shingles Sewers 8ervice Upgrades A/C Fences(PIaUSurvey/Footage)
Drivaways-Not aver Gounfer 1f an pubtic roadways..needs ROW
>>y
NOTICE OF DEED RESTRICTIONS: The understgned unde��tands th�t.thls:permit.may.be•subJec4 to"deed"restrictions"
which may be>more:r.estr(cttve th�n Coueity regulations. �The underslgned assumes responsibiitty for compliance with any
appllcable deed restrictions.
UNLICENSED CONTRACTOitS AtdD CONTRACTOR RESPORISI�lLITIES: If the owner has hired a contractor or �
contractors to undertake work, they may be requfred-to_be:licensed In accordance.with state.and•local regulations. If the
contractor ts not Ifcensed as required�by law, both the owner and contractor-inay be ctted-for a misdemeanor violatfon
I under state law. If the owner or Intended=contractor are uncertain as to what Iicensing.requlrements may apply•for the
� intended work, they are advised to contact the Pasco County Building Inspectlon Dlvisfon—Licensing Sectton at 727-847-
8009. Furthermore, If the owmer has hired a contractor or contractors, he is advtsed to have the contractor(s) sign
portlons of the "contractor Block" of this application for which they will be responsible. If you� �s.the owner sign as the
contractor, that may be an indicatfon that he is not.properly Ncensed and is not entitled to permitting privileges fn Pasco
Couniy.
T�►NSPORTATIAN:IMPACT1lJTILiTIES�IMPAC7'�AND�RESAURCE It@COVERY�FEE3: The undersigned understands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may�apply�to:the construction of new buildings, change of
use in existing buildings, or expansion=of exfstin"g'�buildings, as specifled in Pasco County Ordinance number 89-07 and
� 90-07, as amended. The undersigned also understands, that such fees,.as�may be.due,,wlll be identified at the time of
, permitting. It is further understood that Transportation Impact Fees and Resource Recovery�Fees must be paid prior to
receFving a "certificate of occupancy"-or flnal powec�release. :If the project;does not (nvolve a.certificate of occupancy or
final power release, the fees must be paid prior to permit Is§uance. Fti�thermore;if Pasco County Water/Sewer�Impact
fees are due, they must be-pald pNor to permlQ-Issuance�in accordanc�with�appllcable.Pasco'County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713� Florld�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 Llen Law.—Homeowne�'s
Protection Guide" prepared by the Florida Department of Agric.ulture and Consumer Affairs. If the appl(cant is someone
other than the"owner", I certify that I have..obtained a copy.of.the above..described docurnent�and.promise ln,good faith to
deliver it to the°owner"prior to commencement. � . , ----
CONTRACTOR'SIOWNER'S A�FIDAVIT: I ce�tify that all the,information En this application is accurate and that all work
will'be done in compliance with all appiicable�laws regulating construction, zon(ng and�.land development. Application Is
hereby made to obtain .a permit to do work and instailation as indicafed: ! certify that no work or Installation has
commenced prior to Issuance of a permiQ and that.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulations�in the jurisdtction. I also
certify th�t I understand�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 bezin.corrlpliance: Such agencles.include but are..not Itmited to:
- Department of Environmental Protection-Cypress.'Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florid� Water Management District-Weils, Cypress.�Bay.heads�, Wetland Areas, Altering
� Watercourses.
- Army Corps of Engineers-Seawails, Docks, tdavigable Waterways.
- Department of Health�'& ReMabifltative Servlces/Environrr9enfal Health Unit-Wells, Wastewater Tre�tment,
Septic Tanks. .
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Avlation Authority-Runways.
i understand that the following.restrictions apply to the use of flli:�
- Use of fill Is not allowed in Flood Zone°V"unless expressly permitted.
- If the fiil material is to be used 'in.�Flood Zone "A", It. (s understood that a drainage plan addressi�g a
"compensating volume" will be submitted at time of pecmitting which is prepared by a professfonal engfneer
Ifcensed by the State of Florida.
- If the fill material ts to be used in Flood Zone °A" in�connection with�a permitted building using stem wall �
� constructio�, I certify that fill�:wlll:be used only.to.fill the area withln the�stem wall.
- If fill material is to be used in any area, I certify that use. of such fill w►iil not adversely affect adJacent
properties. If use of fill is found to adversely.�ff�ct adJaeent properties,.the owner may be cited for violating
the conditions of the bu(Idfng-.permtt issued under the attached permit application, for:lots less than one (1)
acre which are elevated�by fllt,an engineered drainage plan Is requlred. .
If I am the AGENT FOR TFIE OWNER, I;promise in good faith to Inform the owner of the permitting condittons set forth in
this afifidavit pr(or to commencing constructlon. 1 understand that.a-separate permit may be requlred for electrical work,
plumbing, signs, wells, pools; alr cond(tioning, .gas, or other instaliations not•spec�ically included�in the application. .A
permit issued shall be constn�ed to be a Iicense to�proceed with the work and not as.authort#y to,violate,cancel, alter, or
set aside any provisions of the technical.codes; nor shall issuance�of a.permlt.prevent the Bulldirig Offic(al from thereafter
requiring a correction af errors in.plans, construction or violatlons of any codes. Every pertnit issued shall become invalid
�anless the work authorized.by such permit.�ls.commenced•within sfx m.onths of permit issuance, or tf work authorized by
the permit is suspended or abandoned for a pertod of six f8)months.after the time the�work�s commenced. An extension
_ may_be requested, in writing, from the Building,Official for a peNod._not to exceed ninety_�(90) days a�d will demonstcate ____ _____
justifiable cause for.the extension. if work ceases for ninety(90)consecutive days...th�job is considered abandoned.
V11AftIdING TO OWNER: YOUR FAILURE�TO.,RECOltD A NOTIGE OF�GOMMENC�MENT NtAY RESULT iN YOUR
PAYING TWICE FOR�IMPRAV�IWEIdTS TO YOIJR:PR�OPERTY. IF YO.U�IIVTEMD'TO'O�TAIN�FIPEAWCING;'COMSULY
WITH YOUR L,ENDER:OR AN ATTOItNEY�B�FORE RECOR�DING_'YOUR'NDTICE'OF COMNlENCEIlMENT:
FLORIDA JURA�(F.S.117.03) � �
OWfdER OR A(iENT CONTRACTOR �
Subscrtbed and swom to(or afflrmed)before me this Subscrlbed and'swom 40(of aflirmed)�before me thig
by •by
Who isla�e personally knovm lo.me or hasmave produced Who Is/are personellyknown•to me or has/have produced •
as Identlflcatlon, es identlficatlon.
Notery Publlc _ Notary Pubiic
Commisslon No:' Commission.No.
Name of Notary typed,printed or stamped Name oi Notanr lyped,printed or stamped