HomeMy WebLinkAbout15-16837 � CITY OF ZEPHYRHILLS
' S335-8th Street
(813)780-0020 16 7 i
' ELECTRICAL PERMIT '
- PERMIT INFORMATION - � LOCATION INFORMATION . � - �
Permit#:16837 Issued: 12/16/2015 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. Feet: Est. Value: Book: Page:
Cost: 1,200.00 Total Fees: 40.00 Subdivision: EDGEWOOD
Amount Paid: 40.00 Date Paid: 12/16/2015 Parcel Number: 1426-21-0270-00000-0330
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: REPLACE PANEL BOX
- � ' - � APPLICATION'FEES' �
ELECTRICAL FEE 40.00
� INSPECTIONS REQUIRED-� � � - - � �
ROUGH ELECTRIC
CONSTRUCTION POLE � n ` � �
PRE-METER � I�l
FINAL �Z � Z�l S �
�Z - 22 -IS
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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 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 performed in accordance with City
Codes and Ordinances.
, C�%�%�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813;�so-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
' Building Department .
Date Received
Phone•Contact for Permittin -
Owner's Name � .,Q � �`e- Owner Phone Number
L �� ` � fi
Owner's Address Owner Phone Number •
Fee Simple Tltleholder:Name Owner Phone Number "
Fee Simple Titleholder Address
JOB ADDRESS LOT# ��
SUBDIVISION PARCEL ID#
< , _ (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED - NEW:CONSTR ADD/ALT � SIGN` Q Q DEMOLISH
e.- INSTALL B REPAIR
PROPOSED=.USE � Q. SFR Q COMM Q OTHER �
TYPE OF CONSTRUCTION � Q ' BLOCK " Q FRAME [� STEEL Q �
DESCRIPTION OF WORK � C�V (� (/��
BUILDING SIZE `SQ FOOTAGE�_ HEIGHT� �
QBUILDING S VALUATION'"OF`TOTAL CONSTRUCTION
ELECTRIGAL $ " � AMP SERVICE Q PROGRESS ENERGY Q W.R:E.C.
2oD
QPLUMBING $ '
,
QMECHANICAL $ VACOATION OF MECHANICAL INSTALLATION .
Q�S , Q ROOFING .Q SPECIALTY � OTHER
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
BUILDER . COMPANY` i
SIGNATURE REGISTERED Y/ N _ FEE CURRE� Y/N I
Address ` - � L(cense# �
, , �
ELECTRICIAN; • - .`'C�OMPANY ' �- �
SIGNATURE ' REGISTERED Y/ N F�curt��'` G N- -
�►ddre'ss , , License#:��(,Dl� �
PLUMBER ' COMPANY � �
SIGNATURE' ' � , REGISTERED . Y./•N.. : Y.,FEE CURRE� Y/N.
Address License# 'I
MECHANICAL' � � ' COMPANY
SIGNATURE ` REGISTERED N. Y,/ N _ FEE CURRE� Y L-N =
Addre�s��� , ' . `� ' � License#
OTHER ;' f ;COMPANY �
SIGNATURE <. ^ " ` REGISTERED Y/ N_,., FEE CURREA Y/N.
Addre�s • License# �
RESIDENTIAL:;�,--•Attach'(2).P-,Io.tcPlans;�(2)sets.of�Building'Rlan's;'(1)'sefof��Energy>Foiins;R-0=W Penr%lt for new construcBon,
:;;Minimum;ten;(�1.0):�workfng�days?aRer.;submittal`date:;:Requl�ed onsite,�Constiuctlon-Plans;Stormwate�`Plans w/Silt'Fence installed,
� ? `� �Sanitary Fadlitles,&�1,,dumpster�Site Wor1c;P.,ermit#orsu6diVislons/large�projects
COflAMERCIAL At�ch(3)`compl'ete`�sets'of Building Plans plus a Ufe�Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)worlcing days after submlthal date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaGlides 81 dumpster.Site Work Permit for all new projects..All commercial requlrements must meet ccmpliance
SIGN PERMIT Attacfi'(2)-sets of Engineered�Plans.;; ._�, - , �_
""PROPERTY SURVEY reguired_for all NEW constructlon. .
Directlons: • � • �
Ffll out applicaUon completely.
Owrner&Contractor sign back of applfcatlon,notarized
If over 52500,a Notice of Commencement ts required. (A/C upgrades over 57500)
" P�qent(for the contracto�)'o7 Pb�i�t of Attoriiey;�fo�the owner)would be'someone with notarized letter from owner autho�izing same
�� w:;J,.:.:i.�_w..... ;
�VER THE COUNTER PE�MITT,iNG,r:=��(Fr4nE af:AppllaaUon�Only) - � - "" �
Reroofs if shingles Sev�rers .;':5er"vice<Upgrades`a/Ct.�,:,:,F�nces(PIoUSurvey/Footage)
. ...� �•y.1..!e.��:.ri�::::1!'�•.. r�i�:r.elL.,t':,..i �i�'.ra..�� .S " � Y � ,. .,...r
Drivewaya-Not over CoilrlteT�iP 6n"�ii�ti�ic Foadway's::n""ee�s`Rb'V1I' �
.. ' ':
' NaTtCE OF DEED RESTRICTtONS: The under�lgned,c�nde�tands;th�t�tfi�ls.���rml�may;be�,sub�ect to."d�ed",restrlc#ions"--_ , ' ;
which may�.be�more°restFicthre�thal�County��regrilatCons: Thie:underslgned�as`sume��respansitilllly`'for=corriplianae:withr"ariy'� "` �
; aPPltcable:deed=restrtatlans, .. .,.-, �: • . _. - • , ._ ;
UNttCERiSED CONTRAGTORS AND CONTR�ICTOR RESPCiNSIB1I::ITIES: -if-the ovimer�has�fiired��a� contractor ar
cantractors to underteke work, th�y may:be.:.r,e�qulred:to<b�Tlicensed.ln accordancawith;state�.andilocal;regulations:�<.If the-� '
cantr�ctar ts tiot ltcensed'ras�requl�cf.`:liy [av�r� botff the owner artdreontractorxrriay beralfe+d for�aT•:nisifeaneanar uEolation
under state law. if the owner or Intended�,contra�tor;are,;uncertaln as to.what I(censing.requineKnents;rrray-appiy-�for-the •- �� - I
intended wark,they are advlsed#o contact_ttie.Pasco+County.Bullding;�fnspectlon,Dlvislon---Llcensing Sectton at 727-847-
8009. FurtFiermora, if the owrier fias`�filred a cotiUactor or coritractots, he Ts advtsed ta have .the a�nUactar{s), slgn_ ;
pnrtions of the "contrector.��lock" nf.this appllcetion.foc.which.they will..be.tesp.onsibl�. �I#',:�you,.-as_.the ovimi�r;'s`Ign''as'the'� � ` �
contrac#or� tha#>may�be an in�lca#lon that'=Fie is'riot'proper3y licarised�and'1§'rio#ent�led'#o perrril�ing pr�rlteges In Pasco
County. � '., �-,`��
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i'RANSPORTATION.AiMPACT1UTiLIfiIES�CMPACI'ANb kESOU�tCE RECOYERY•�EES;�7�he underslg¢�ed"understands '
that Transportation impact Fees�and.Reco.urse Recovery.Fees may:�,appiy,to�the:canstruation,of new_bu{i�ings��change�of'����'`��' � �
use in existfng buitdtngs, a��expar�slon��of��ezisti�i�°'�6ulldings, as speclfled.in Pasco County Ordlnance n�amber 89-07 and
80-07, as amended.�..T�;1� URdBtSI�11@tI 81S4;t117d8�S�8t1dS� that:Ysuch fees;,as��tnay�;�e:�due�SwiEl;.be�dentl��d at fhe�-tirrtes'of i" �_�'� ' ,
permitting. It Is iuitfier understoad that Trai�sportatlon Impact Fees and�Resource:Recodery��ees mu'st be pald prior to �
rece�v#ng a•cer��tcate=of-occupancy"or final�:power.=;release: :4f the pro�ect.does�.not invalve�a�.cert�[cate af occupancy3or,:'=,,.�;,�� .
flnal pawer release;,�ihe,:fees mu�f tie patd.,pclor to,,permR fssuance. F��thermore;'�if:Pasco,Couniy'�1Nater/Sewec��lmpact� -�._� :r� �
fees are due;they_must.be>pald-prlor to permlt.lsst�ance=ln..accordance wltt�:appltcable_Pasco'.County�ordinances. • �
Ct3NSTRUCTt�N�CtEN'!AW�(Cliapter'T1S� �toMaa statute�,a�e��na�aj: if valua�on of wark is$2,500.00:ar�more;1� ._
cerlify that I, �he �applicant;. have-been proylded��wlth-�a�copy of the �'Florida� �anstructlon� Lien .L:aw--l-lomeowner's �
Protectlon Gulde° propared by�ttie Florlda Qepertmen#�of Agric�ltnre and Gonsum�r.Affalrs. If the appll�ant Is someone .�, �,:
other than the"owner", I certffjr�that.l:have,ob.tained3a'copy;of.tha�above..rlescribed�dbcument�and,promis�:,tn,good':faith.fo .
deliver it to:tlie.'owrier"':piior�to�cflmmericement:�'�` . . , - .. '� - - - � .
CONTRACTOR'S/OWNER'S ARFIDAVIT: 1.ce.cfity�:#hat�all.th�,informatign:in thl�applicatton is accurate�nd that afl work
will�be do�e in compliance with all.appiicabie laws regulating construction� xoning and:land=develdpmerat. Appltcation,Is
hereby made to obtaln..a permlt��to;;do ..w.o�k,,.and�lhstallatlan as 1ndl�e#ed:.��t�l certify that na work°or Instaliatlon Iias
cammenced prlor ta Issuance of�a perMif"and�that`.all work will be pertormed�to meet.standards.�of aIC laws regulating-
cons#ruatlan, Gounty and City c�des, zontng cegulatlons, and iand development tegulattons'i� the,�urlsdictlon. t al'so �
certtfy that t ur�derstand thaf ihe regulatlons of other government agenctes may�apply�to the.intended work, and.that (t is `
, my responslbility to Identify•what.acBons I must�teke:ta be,ln�car�p!lance,..Su�h-agenc4es.lnalude but are.not Itmited to:
- Qeparfinent of E�lvtronmental�Pr'otecttan=Cypress.'Bayheai��, WeNand Areas and Environm�ntaliy Sensitive
'� Lands,WatedWastewater Treatment. �
- Sauthwest F#orPda Water Management .I�tstr�ct iNe11s; CYPress.`8ayheads�,� We#land Areas, At#ering ;
I Watercaurses. , ' - :, ,
- Rrmy Corps of Enginee(s-Seawalts,Docks, Navtgatile Wateru►rays, .
- Department of;Health.,� ReF�abltttafive $ervices/Enyitonmenfal Nealth Unit Weli.s, Was#eHrater�Treatment, �
Septic Tanks:. 4 � � - . �
- US Environmer�#a1 Protection Agency-Asbestas aba#ement.
FederaFAvlatlon.Authority-Rurn+vays��� _ ':
!understand that the.foito'viring:rest�tctliins apply td tfte use of flll:•
- Use of filt)s not aliowed in;F1ood�Zone"V"unless exp�essty permitted. �
- If the:�II mateHai `is to�b`e used:ln�:�flood Zane. "A", It is understood that�a dralnage'pl�n addre�sing a �
"compensating volume"will be submitted at#ime of.perm3tttng whtch is prepared by a profe�sionat englneer-
Iicensed by the State of`Flotida: �
- if th� #Iil m�terial�is`to be.used In Flood �one 'A" tn>connec�ion�wlth�a-..�ermltted bullding using stem walt
� construc#ion, I certify that.flU.�rlll:b.e�used only.to fiil the area within�#he�stem wail. .
- If flA makerlal ts to be used in ariy area; I �cectify t#�at .use ofi such flA w111 not adversely afiect adjacent �
ptoparties. lf use of fltl ts fqund.to adversety.��ffect ad�Eanf�prc�perties,,the awner may be ctted for viorating
the condi#tons af the building.permit:issued under tFie at�ached..permit appl(catlon, for.lots�.less�.than.:one (1)
acre whlch are elevated�by,fll#;a�t englneersd dralnag�plan is requl(ed. . ..
If I am the AGENT FOR.THE OIMNER, I;�promise In,good .f.aith ta fnform the owner of-the permitting condOttans set fiarth (n
thfs aiflidavlt prior to commer�cing construotlon. 1 understand that_a-s�par�te permit may be requlred for electrRcal work, -, _
plumbtng,_signs, weHs�,poais; air cortditionirrg�.gas,�or otMec insfiall�ttnns no�,speclfl�lly inciu�ted-in the application. .A
permit issued shall be construed io be��'Ncense`to�proceed with�tlie.wa�k and�not as:authoNty to.violate;`cancel. alter, ar �
set astde any�provlslons of the technEcal c�des; nor sha11 issuance�of a.permlt.prevent t�Bulldlrig O#�ci�l from thereafter �
requir(ng a correction af eRors in•plans; cons#tiuctlon or vialatlons of-any codes. Every--p�ermtt issued sliall-become inval(d
uniess the work authorized 6y such permlt:3s.commenced�wlth(n sfic months of�permit issuanc�, or!f waa�k authorized by
the pe�mit ts suspended or.abandoned•ior a:period of�six�f�6)�monf�s.after the tlrne the�work�ts commenced. An extensian
• , ...
_may be requested, (n,writ(ng,_from the'�uilding.Officia) for a period.nnt-tA exr>_eed�ninety�(90)Adays a�d�iirill demanstrat� —�—
�ust�able cause f��the extension: if work ceas�es:for nlne#y.(90}cons.ecutive:daKs...fhe�ob�is�consldered�bandoned:
WARNING TQ OWNER; YOUF�..FA1�,�1RE•Ta.RE�'aRD,A.MOT�tGE:OFr�COMMEi�lCEMENT NI�AY�RESUl:T IN YQUR
PAYtNG TWICE;FOR IMPROVEMENa`S�TO.YOUR�;PROPERT'Y.�•�IF�YO.U�I�ITEND�TO�OBl'A1N�PINiAt�1E1RlG;�C.ONSULT
WIT • U D � 1+1 O NEY �DR '� OR�1 G_; pV :� : ;� -< : :r �.: '
�.o����►�u�a�iF.s:��7.os} .. , _. . _, _ . , .. ..
OWNER OR Ati�NT CONTRACTO - �
Subscribed end swam to(or s�irmed)bstare me th!s Subsaibec!'and'svvom=#8 ot rmsd� ts nte'ttii�
by .ay... ..
Wlio Is/are personally knorm to.m�or haalhave produced Wlao.is/are p.ersonalty awn•to me or hes/have-produced • •
� as td"en��Cc�eon. ' as tdentlRcaUan.
: � �
Notery Publfc . � Nobry Pubitc
s-� / '';:�Y�ai%'�•., JOElE.BACQN
Commisslan No: Comr�ls �h.No, ._''
:.. .._
; ;o: Expires June 29,2018
Natne af Notary iyped,printed or stamped Nacne af Nata�y typed.Pr�