HomeMy WebLinkAbout15-16830 ClTY OF ZEPHYRHILLS
;.�w� 5335-8th Street
.` ` (813)7$0-0020 1�$��
ELECTRICAL PERMIT
PERMI-T INFC?RMATION- . � - ' LOCATION INFORMATION
Permit#:16830 Issued: 12/15l2015 Address: 38611 C AVE
Permit Type: ELECTRICAL M15C ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Black: Section:
Sq. �eet: Est. Value: Bc►ok: Page:
Cost: 1,000.00 Totai Fees: �a.aa Subdivision: CITY C}F ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 12l15/201 Parcet Number: 1426-21-0010-03104-0061
CUNTRACTOR INFQRMATiflN � QVYNER INFQRMATlC?N- - �
Name: HQMEOWNER Name: PELTO JAMES
Addr: Address: 31 COOLIDGE ST
AUBURN MA 01501-2913
Phone: Lic: Phone: 508-485-4$11
Work Desc: iNSTALL 240 AMP PANEL BQX
� � - � � � � APPLICATIC3N FEES - � "
EGECTRICAL FEE 4Q.QQ
lNSPECTIONS REQUIRED �
ROUGH ELECTRIC
CQNSTRUCTION POLE
PF2E-METER �,�- y _h
FINAL 'L-����t( (!� �)
T—
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)fihe
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 praperty that ,
may be found in the public records of this county, and there may be additianal permits required from other gavernmentaf
entities such as water management, state agencies ar federai agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice far
improvemenfis to your property. If yau intend to obtain financing,consult with your lender or an attarney
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.
� �
f ONTRAGTUR PER OFFI
PERMIT EXPIRES IN 6 M4NTHS WITHQUT APPROVED IN5PECTIO
CAI� FOR INSPECTION - $ HOUR N4TICE REQUIRED
PRt�TECT CARD FR4M WEATHER
813-780-0020 City of Zephyrhilis Permit Application FaX-s�s-780-0021
Suiiding Depactment -
,--:-r�
Date Reaeived J� �-7�� (� Phane�Cantacfifor:Permtttin .
7 Owner's Name '•f r���GS 1" ��-'�� Owner Phone Number �O`�`���"t"' $/�
�Owner's Address 3� Cn o 1 rGl 'e, "f' J C91� a C Owner Phone Number � �
Fee Simple Titleholder Name � , � Owner Phone Number
Fee Simple Titleholder Addresa "
�JOB ADDRESS � �'�11 G ��� LOT# ��,�
SUBDiViSION - �� � P.ARCEL ID#
, (OBTi91NEDF.ROMPROPERTXTAXNOTICE)
WORK PROPOSED • NEW CONSTR ADDlA1.T � S1GN` Q Q DEMOLISH
���. INSTALL � REPAIR ° �
ARQPOSED>1.lSE Q SFR. [7� �COMIUi 0 OTF{ER
TYPE OF CONSTRUCTION Q 'BLOCK ' Q FRAME �_ STEEL Q
DESCRIpT10N OF WORK � j '�� ���-1 . �� r�t/ ����'1 ,
BUtLDiNG SIZE J� � 1� fo C��' SQ'FOOTAGE�; , HEIGHT��C„_`�_�
�8���'����' � �f�-� VALUATIOiV'C1F�T01'A�COi�tSTRUCI'IOM1i �
�J
r� [�E�ECTRtGAl. ���, J��; AMP SERVICE . �Q 'PROGRESS ENERGY Q W.R.E.C.
6
QPLUMBING �__ �
�
QMECHANICAI �� YALt)ATIQN OF;MECNANICAt,tNS'fR�.Li4TtC?N
i QGP�B Q ROQFING Q 3PECIALTY � • OTliER
.FINISHED FLQOR ELEVATIONS �_,,,,,,,, � FLOOD ZONE AREA C]YES
,NQ
� - -
�� BUt�DER � COMF'ANY� � '
' SIGNATURE REGISTERED Y/ N , � FEE CURRE� Y/N
�
� Address � , • Llcense# � �
�' °�/ 1�.�es ��L-i L}
� r��ECTRICIIW= � r* .�'COMPAt�lY��.' ��}
'�, SrfGNATURE � REGISTERED Y/ N FEe curt�e�• ` ''Y/N
i'
� Address ' ' License�# '{ , . �
� � �
� PLUMBER CBMRANY . , _ .
I SIGNATURE' , ReG�51`ERE�. Y./�`N,. :: .FEE CURREN ' Y�/N.`.
Addre�s � License# �- � ���
MECHANICAI: COMPANY.
SIGNATURE '" '� REGISTERED Y/.N _., FEE CURRE� X/:•N
Address ' ' , . , , - . . License# � �
t?Ti�iER " ,. ' ' ,`;COMPANIt
SIGNATURE �, ' � � -" ' REGI57ERED` " Y/ N:. FEE CURRE� Y/N
I Addrau� _ � ° ticense# �� � �
i . . . _ . , ._ ,.: . ,. . �
RESIDEN'i'lAt;'; -:At#acti't2}..Ptot Plans;:(2}sets.of Bu�Iding�Plans;(�}sef af-Etiergp>Farms�R-0�V1t Peimit for eew constnrction, ,
, . . .. ,
�:Minimum,ten,(4,.0);wortcing;days�after,:submlttal`date::Requlred onsite;.ConsUucBbn�Flans;Stortnwate�"Plans w/SflfFence installed,
J" ���Sanifary Facilides:r&r;1,;dumpste_r,,Site-Work�Permit for:subdiVistonsllarge.pmjects ._, � `
COiVlM�RClkl. Attach{3)ci�mptete'sets af Bu3tdtng Plan's ptus a l.ife Safety Page;(1}set of Energy Fcrtns,R{3-W PermSt hsr new canstnsctlon.
Mtnimum ten(10)working days'after submittal date. Requl�ed onsite,ConstrucUon Plans,StortnwaterPlans w/Sflt Fence fnstalled,
, Sanitary Facllides 8�1 dumpster.Site Work Permit tor all new.proJects:All commerclal,requlrements.must meet compltance
SlGN PERMIT Attact�"{2)"sets of"Engineer,ed.;Flarss...: � � - , �� . ` •
••••PROPERTY SUR1/EY regulred'for a.11 NEW canstrucUan.
Direatlons: . , . � . _
Fill out applicadon campletely.
Owner&Cantractor stgn back of applica8on,notarized
if over a2S00,a TlotCce of Commencement is required, (AlC upgrades over;67500j
'" Agent(for the contractor)'or Power of Attamey'(far ttie�owner)would be someone with notarized letter fram owner autha�izing same
OVER THE COUN'iER.PERMiTLiNt3 ---(Frant af Applicadan Oniy) �
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on pubiic roadwajis..needs ROW �
�v.
• .:1
NOTiC@ OF DEED RESTRICTIOIdS: The undecsigned understands�:th�t4this,���rm[�,may;be,subJect,to"deed"_restrictlon`s"_ _._ ,` ..�;
which may�be<more=resulctive th�rt County�r9egr�lat(ons.�The underslgned�assumea responsitillttji�for'compllance�with any"
applicable.deed_reshictions. - ,.: ,., �•. = - • _ , .. .. -. `� � � �
UNL.ICENSED� CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:� =°If-the owner'has �hi�re�d��a �contractcr or
contractors to undertake work, they may:be�.requiredt.to;�be;licensed;ln.:accordance.with state:and:local,regulatlon.s: -1f�the� =
.............:....,.;:_
contractor is not l(aens�ed as requlred`tiy law, both�`the�owner and�contractor°may be�cited for�a�misdeme�nor viotation
under state law. If the owner or intended,�contractor:;ere.;�uncertaln as to what Ilcensing:requlremenCs;may-�apply���forrthe -- _� ^ '
Intended uiork,they are advised to contact_tFie Pasco County..Bullding:Inspection Divislon--l:Icensing�S�actton at 727-847-
8009. Fu�thermore, ff the owrier has�Fiired a conNactor or contractors, he Is advised to have the r�ntractor(s)„sfgn;
,,,;-., _ ,. _ .�.: .
portions of the °contractor Block" of this:appilcation.for_which.they-will be_r,esponslble: If...you,:as-.fhe e»wrier-sign``as'the' �
contractor; that�may�be an indication that'Fie`=1s not.properiy�licensed antl'is"not entiNed to pemiifting p�iileges in Pasco
County. • , s;�. .,,.,:. � �
TRANSPORTATlON=1AAPACTIUTILITIES�rMRAC'�AN�RESOU�tCE RECOVERY�FEES:�The undersic�ned understands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may.�-apply�to�the;constructlon of new bulldtngs�Uchange''of"� - `'� '=
use in exi$tin g buildin gs, oc.,expansi�n�of�ezistin�g�bulldings, as speclfled.in Pasco County Ordinance na�mber 89-07 and
90-07� as amended....,�he. under�igned also�understands, thait`such fees;.-as,mayrbe��dne;�wlll.�be ideritified at the'time°'of�� •�� -
permitting. It is iurttier understood that Trensportation Impaat Fees and�Resource Recovery�Fees.mu�t be pald prior to
rece6vtng a 'cerfi�cate of occupancy" or flnal-�powe,r...release: :If�the proJect;does�.not involve.a-.certificaf� of occupancy=or=�����='=�" �"
final power:release;the fees mu�t�tie"paid.;p��or to,.permit Issuance. F�l�thermore;`if:Pascc�:,County�Vllater/Sewer•,Impact - . ,�- ;
fees are due, they.must.be-pald..prior#o..permit_.Iss4ance'In.accordance with appllcable:Pasco��County�-o�danances. •
CONSTRUCTION�LIEN�LAW�(Cliapter 713� Florlda Statutes�aa amended): If valuation of work is$2,500.00�,or-more,.I :� - .
certify that I,-ihe<applicant;�-have._been proylded•�with-�a copy of_the �"Florida� �onstruction� Llen :Law—Homeowne�'s
Protection Guide" prepared by the Flo�ida Department of Agricultnre and Consumer;.�kffairs. If the applicant Is someone , �. -
other than the"owner", I certffy>that l have.obtained�a'�copy,of:the:above�.riescribed-�locuii�ent°and.promi�ie`in,good:;faith.to >
deliver It to.the'owne�'�p�ior'to�corrimencement:''" - ' �� " ' - ' .
CONTRACTOR'SlOWNER'S AFFIDAVIT: I.cectify;:that-.all�the�Jnf.ormallon.:i��thi� application is accurate.and that all work
will'be done in compliance with all.applicable�laws regulating constructlon, zoning and:land°�development. Applicatlon Is
hereby made,to obtatn.:a permit.:to;.do��w�rk:�and�installatlon as indl�afed:.�.-:1. cerlffyr that no work"o� Installafton has
commenced p�lor to issuance of a�permif"and that.all work will be pertormed�to meet standards of aBl laws regulating-
construction, County and City codes, �oning regulatians, and land development tegulations�in the .jurisdict(on:- F al'so ,
certify that I understand that the regulations of other government agencles may�apply�to the,intended w�nrk, and that it (s ,
my responsibility to identify�what.actlons I must•take:to be,in>corr�pllancs. S.uch agencies include but are.mot Iimited to:.,
- Department of E�vironmental�Protection-Cjrpress.�Bayh'eads, Wetland Areas and Environ►ruentally Sensitive �
Lands,Water/Wastewater Treatment. '
r. ...
- Southwest Florida Water Management: :DtsUict Wells, Cypress• Bayheads, 'Wetland' Areas, Alte�ng }
Watercourses. ' ' •
- Army Corps of Engineers-Seawalls� Docks, IVavigable Waterways.
- Depart,ment of.Health�'.8, .Rehabilitative. Setvices/Environmenfal Health Unit Well.s�.Wastevitaater�Treatment, '
Septic Tanks: � -
- US Environmentai Protection Agency-Asbestos abatement. :
Federal Avlatlon:Aulhority=Rurnvays,. '
I understand.that the follouiiing.�restrictl'ons apply to'th'e use of flIL•• �
- Use of flil is not allowed In;Flood Zone"V"unless expressly permitted. :
- If the fiil matecial-�Is to be-usetl:�In:�Flood Zone. "A", (t is understood �that a drainage pls�n addresstng a •
"compensating volume" will be submitted at time of;permitttng which is prepared by a profess(onal engineer ;
Iicensed by the State of'Florida: ��� - ° - �
- if ihe flll materiai�ts�to be used in Flood Zone 'A" irn connection�with�a�•�ermitted building using stem wall
' constructton, I certif�r that flll:wall:b.e�used only.to fill the area wlthin�the�stem�nrall:
- If flll mate�lal Is to be used in anjr area� I��certffy that .use. of such flll wlll not adversely affect ad)acent ,
properties. If use of flll Is found to advereely.�ffect adJaeent�properties�.the owner may be cited for vtolating '
the condl#Pons of the b�ilding.permit.issued�under the attacfied�ermtt �ppllcatlon, for:lots lass�than.one (1)
acre whlch are elevated�tiy.flll,acr engineered dralnage�plan is requlred.
If I am the AGENT FOR THE OWNER, I;.promise In,good fafth to Inform the�owner of•the permitting conditlons set forth in
this affidavtt`prior to commer�cing constructlon. I understand thet_a�separate permlt may be required foU elecMcal work, � , ,
q�.: ....
plumbing,_Signs, wells,.pools;. alr cond(tioning,-.g�s,�;or otF�er. Install�tlon"s noE,speclflcally included�tn.the�application. .A
permit issued shall be co'nstrued to be a-llcense'to proceed with'the work and not-as:authoNty.to.violate,��cancel� alter, or
set aside any provistons of the technlcal codes;�nor shall issuance�of a.permit.prevent the Bulldirig Oiftct�l from thereafter
�equlring a correction af eRors in�,plans°; constFuctlon or violatlons of�any�codes. Every p�ermit�issued"stiall become invalid
unless the work aufhorized.by such permit:�s-commenced�withfn siX months of permit issuance, or if work authorized by
the pe�mit is suspended or.aba�doned•for:a;period.of�six_f8)�montti`s.:after the time the�wo�k�is commenced. An extension
may be requested, in writing, from the�Building,Officiai for a perlod-not to exceed�nineqr�(90) days a�d•ry►iill demonstrate
justifiable`cause for.�the extenslor�. If work ceas�s:tor ninety.(90)consecutive:days...th�job�is conside�ed aba�doned:
WARNIIdG TO OWNER: YOUR.EAILURE�T�.,REC.OEtD:A.MOTIGE;OF:•COMMENCEMEMT MAY RESULT IN YOUR
PAYING TWICE:FOR-IMPROVEMENTS�TO.XOUR;PR�PERTY:-�I��YO.U�I�V�F�ID:Ta�'OBTAIN��FINANEING;'CON3ULT
WITH YOUR CENDER�OR API A�TORNEY�tFO'R�LR�ORf71�If�YOUR'N01'ICE'QF�CdNAN1ENCE�I�NT' _
—FLORIDA J�1RA�(F.S:t97:03). -- • --- ~�--- ' - --- ------ - - --- - -- — — --
OWMER OR AOENT CONTRACTO �
Subsarlbed and awo to a(fl ed be re me}�Is Subscrlbed and' t aRirmed� re m 'ttit$-
b � — "f"v •bY� r
y ' ./ d��� � �' �
Who Islare personaliy knovm b.me or haslhave produced Who.le/are p.ersonaliyacnown�tc.me.or has/have-produced • �
" as IdentlBcatlqn. � as IdentlRcatlon.
Notery Public . Notary Publlc
Commisslon No`:'` Commisslon�No._ _ _ _ _ _
Name oi Notary typed,printed ar stamped Name of Notary typed,pdnted or atamped