Loading...
HomeMy WebLinkAbout15-16867 CITY OF ZEPHYRHILLS 5335-8th Street � - �► (813)780-0020 16867 ELECTRICAL PERMIT � PERMIT INFORMATION � ' � LOCATION INFORMATION - , Permit#:16867 Issued: 12/31/2015 Address: 39453 TABETHA DR 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: 700.00 Total Fees: 40.00 Subdivision: SIXTH AVE Amount Paid: 40.00 Date Paid: 12/31/2015 Parcel Number: 12-26-21-002B-00500-0000 CONTRACTOR INFORMATION , �� OWNER INFORMATION � Name: PATTIE ELEC. & REFRIGERATION Name: SIXTH AVENUE LLC C/O MHC OPERATI Addr: 39111 PATTI RD Address: 2 N RIVERSIDE PLZ STE 800 ZEPHYRHILLS,FL. 33540 CHICAGO IL 60606-2682 Phone: (813)782-3319 Lic: Phone: ' Work Desc: REPLACE METER & RISER METER# 1545254 APPLICATION FEES. ' ` ELECTRICAL FEE 40.00 � � INSPECTIONS REQUIRED � ROUGH ELECTRIC CONSTRUCTION POLE ///��� � PRE-METER / \n FINAL " � �I� � 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 pertormed in accordance with City Codes and Ordinances. CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER _ . � i _ / easaeo-ooxo - - City of Zephyrhills Permit Application Fax 813-780-Q021 Buitding Qepattment _ ? - -- - Date Recetved � --. � - - '~lphane�Caiitact for.Perrn�ttln -� O�rner's Name � � �7 wn+ar Phone Nurr�ber ��'Owner"s Address � ' Owner Phone'Number'-� � Fee 5fmple Titleholder Name � � Owner Phone Number � � Fee Slmple Titleholder Addreas • JOB ADDRESS ! % � �� � LOT# ��_� SUBDIVIStOPt �� � P.ARCEL ID# ',�. `�-"�`A�-� t..C,� � ' , (OBTAINED FROM PROPERTf.TAX NOTICE) WORK PRaPf}SED �..NEW CONSTR ADDlAI� [� �81GN" �- � [� DEMO�tSH , 'e. INSTALL -8 : REPAIR � C � PROPOSED°USE _� Q SF12= � 'GOMM � OTHER . TYPE OF CON$TRUC710N � Q� BLOCK * 0' FRAME �] STEEL [� . DE�CiZIPTION OF WQRK ..e {-�j"t `P V� M'�T��''� 1 ��S Z S�� Bt71LDING SlZE � � � SQ FOOTAGE� . HEIGHT��� s Q�uica��� � .:r,. , �,..�� ..�. �.-- .' , . . , f.. �, VALUATtON=O�TOTAL COt�S'FRCiGT10N " „_ , J - LECTRtCAL. $ AMP S�k�VtGE l�� Q PRG)GRESS EIUERGY Q 1N.R.E.C. �G> ����-,� QPLUMBING , $ ` � OMECHANICA� � $ ` . VAI:tJATtQN OF;MECFiANICAL ENSTALLP�TIC1i�F �. 1��` QCAS Q ROOFtNG Q SPECIAI.TY �,� OTNER FINISHED FI.QOR ELEVATIQNS (��� FLOOD ZONE AREA QYE$ .NO L � � BUILDER CQMPANY' , SIGNATURE REGISTERED Y/ PV FEE CURRE� ' Y/N Address � L'tcense#� . ELECTRiC1AN: 'C014APANY" � SIGNATURE � REGI$TERED Y/ N FEE CURRE�`' � Y/-N� Addres� , . _ License#, � f���„l��,� PLUM�ER .. : CQMPAAIY ,. � . � � , $IGNATURE � � REOI�TERED .. ; Y/.�N.: .• :FEE-0URREK. T-� '° Y/N.- r �� Address ` , �icense,# ��.� � .�. _ . MECHAPi1CA1: ' , . � _ Gt}MPAN1! � - . t SIGNATURE� ' � " � "" � REGISTERED Y_/ N FEE CURRE� Y/rN' � Addres's �^ - � ` . . . � t" ticenSe# ��. � OTHER ,: _ c, - - � . , :GOMPAM! ' . � t.,: ,. , . :,- SIGNN►TURE ''�' � - "^ '� - ' � ' `REGIS7ERED ' ' ` Y/ N�,: -FeE curtitEn ' , Y 7 N. Addre�s; , , � „ I - - � ' . .' L"ECense# { � RESIDENTIAL,:_ Attacti'{2).;Ptot Flarisr�(2)sets�of<B`uililing�Plans;'(.1}`sefaf`Energy>�ciins;,`R=Q�W'Permit for new canstruotion, � . .� ;_.Minimumwten�(:10)iworkin,g�days;atter'�submlNal'date.�:�R`equlietl onsite;.Constrticd'a`n`Plans;Stotmwater Plans w/SiitFence instailed, ' ,,.�__.., .,.. ., ... . ' SaNta'ry Facllides,&,lq�,dumpster�Site:Worlc�Permit for�subdiyision's/lerge'�projeci'sw:, .;;.,;, � • ` � COMlU{E12CiA1. Attach{3}campiets`sets af-Suit�ing Ptans ptus�Clfe`Saf�tty Page,{1)set of Energy Forms.E2-O-W Petmit#c�r neuv canstruc�on.� Minimum ten(10)worfci�g days afker submittal date. Required pnsite,Canstrucdon Plans,Stormwater Plans w/Silt Fence installed, __ Sanitary Faci{iiles&1 dumpsterµSite W,orK Permit for all new;proJec�:All commarcial requirements.must meet compllence St�N PERM11' Attac�{2)sefs"�ofEngiiieered.Plans.:`:.>;-�; _. : ..� _-a-__--- -.=- -- .-,�•-----::.� � _�,__�,_____ ""«•PROPERTY SURVEY reguira�cl for_ail IVEW canstruction.. • Qlrections: , , .. . - . , , , . Ffll out applicaUan completely. r `�;, 11 1/v�` w Uwner 8 Contractar sign back af appticatlon,notarizzeti �'; � �; ' ;�,�t If over a2500,a Notice of Commencement ia required.��4►G�upgrades�bver 3Z500) : •�.,��;;.�r�,,„;xm,.� '" Agent(for the ctintractor)or Power of:Attomey`"(for tfie°owrter)would be'-someone with notarized letter from owner authorizing same �i �,ik DVER THE COUNTER,P...ERMiTTiNG---•,- ��(Frontaf-Application 0niy}-�s:�',,,'�;., r"" "� Reroofs if shingles Sewers Se'rvtce Upgrades A/C Fences(I?IoUSqrvey/Footage) �r..' — .,� " ;K--;':_ ' , . ... _.... _...�. .__,;� . t., . .... - `ro t;;r;,;' t �� �i = • .,. Drivewaya-NotoverCaunter-tfomputilic�roa�ways::�ieed`s-ROW�`�••-_�":.�-�_. _� " , _. , .�: ._ii.,�. �, ',{` "�i ., ,.'t':�i�r:ti;tkP?'��y :. . �"'�:. -,:.g' ' -�rf�- a rav. .. ..: ,.�E 4� . �;u'�..w � ��, _ _ _ _ .. , - _- ,� _ :_ - � � � : . a NOTiC�-OF DEED,RESTRICTIO�iS:, TMe und�rsigned;qnder�tands=,th�t-thi�;°p�cmit�may;be..subJect:to°a��a"�restr0atiohs"`....'... ' ' `" . . .:..�, : :- . .,, .. , ... . . ___.. . �., ..,:.,4:. , ,.. � ,:.h. -�._ which msy-.tie�more-cesttla#ive>�t���r County��reg�ilat�ans:�'ftie°c�'riderslgned=assumes respansibility�`for cc�mpllance with>ariy. ., � applicable:deed-restrictions. � . ._..� ° ._:.'. :.... =" ,.. . . . :� ' � . � ", •� . . . '. _, .�,.� � ,, :� . ., >:�.. ;:.-..,-m: UNLI�ENSED CONTtiAC.TORS �AND CCINTRA.CTOR RESPQNSIB!!:!TlES:���ff=�ie���owrier�has��hiretl��:a:contractor or contractors#o undertake wark, they.n�iay�b,e:;r.�qu1red�to,l�e,Micensed�ln.accardance;wlth;state.ancl,�local;regulatl,a„n.s.:�,�tf�the��-� � � �:.. contractar is not ticensed as�requtred.`by teriir,�both'�#he owner an��con�aator�mey�be�cifed.fo��a misdemeanor vialation under state law. If the awner ar Intended->contrac�tor;ar"+a�uncertain,,as�to wtiat iicensing.requtremartts;may$�appiy4ior:.tiae�� =.���; �:�; � :.. . .. , �.,� intended��niork,"they are""advlseif to ccrritact,ttie.Fasco:County Bulldingr;Ittspectton;Dlvlslon,--Llcensfng�ectfan at T27-847- , .....�... . �... .,.... .,...,� . �.:. , h_ 8009. Furttiermore,�If the owner has"�ht��d`a conUactor +o� cvntractors. he ls advlsed to have�the contractor(s),slgn_., , � f,, portlons af the "contr�ctor.Block°of thia._appllcatlon:.for�which,.they will.be..tesponslble.- IL>you;:asw#he owner��s(gn"'as°"the'`' � contractor, that�may�be an indication that=fie`is not:properiy`licensed and��ts°nof'entlNed�to pe�inittingE Mirivileges In Pasca .,, Coun#y. � �. ` , _ I ...� - _ � �. � a�-�_ � � � .. TRA1dSP,,ORTAT1t?N_IMPACT/UTll:��"lES=1'N'lPAC��ANb-RE$A�l�tCE RECOVE�tY�FEES:"The`understgneii`understands that Transportaklon Impact Fees and:Recou'rse�Recovery.,Fees'may:,�pplyv tc:tF��_constn�cttan.o#new.bultdingst,change�'of°J```�`';�=` use In exisNng bulldings;�or�exparrsi�%r�of°�ezls#in��buildings� as specifled.tn P�sco County Or'c!lnance u�umber 89-07�and � 90-07� as amended.,�x.;Fhe undersigned also,�understa�ds, thait:�such fees�;,�is�may��e:-due;:�will;�be.idenfffied at the��time�of�� ��:'� '` , permitting. It is furtiier understood that Trainsportation Impao#Fees and''Resource_RecoVery�Fees.,mi�st be paid pclor to cece�r4ng-a'cerfi�ca#e-of�occupa�cy°ar flnaf��.pawer:Ketease: :{f°the proj�c�.�oes:not involve:al.certfficate af occupancy=or�:_`�°.,"�=��' flna! power release; tlie:fees mu�t be paltf,pcior to;permlt lssuance. F��ther�nare;iF Pasc��..C,atsnty.,V1►�terlSewer�Impact -- . . � fees are idue�,_lhey.must:be-paid��.priar�a permit�issyance�in.accordancewitti:applEcable:Pasco'�-Coun#y,o�dlnances. • CON3TRUCTIQN'�+I�N;t�4{!V;(Chapt�i���1�;-�lorlda$tatutesR as am�ndgd):.:If Valuatlon of work!s-��,500.OQ�or.�more�.!� �� -�:.3 f certify that-I,-�#he`..appli�n�;.-fiave..been proyidetl��with-a-�copy�of`#he� "Florida��ConshucNon�-Llen.:L�iw--Homeowner's Protection Guid�° preparod by�the Fio�ida Departmer�t�af Agric.ui#ur��and Consumec,Affair�. If the apppcant Is someane;�;- �. � �:_ other than#he°awrier", i cer#Ify.that_i�h�ve obta�ined�a�copy;of.#he.abava�de�cribedtiocument�and,promise°in,gootl�faith.to . ,. .. _ _Ur..,. _ deliver It to_tt�e."owner"�p'riot�to=cflminencement:'�' . , , . , � . . � _ . • _. CONTRACTOR"SIOWNER'�AFFIDAYIT: !ceitlt'y:�that-al{«th�Rinf.ormatt!bnrl�:thi�appllc�tlon is accurat+�and ti�at�all work wiil'be dane in aompltance with all appitcable�law� regulating constructlon� zoning and.,la�d.�developm�nt. AppltcaEfon fs hereby made to abtain .a.permit�:Co_do;-w��.,and thstaliatlon as ind(�efed:�..l certtfy that no•work car lnstaltatton tias' commenced prtor to issuance of'a permit and that�.ait�work will�be perFormed�to meet-standards�of�II laws regula�ing� cans#r�ctbn� Coun#y and City codes� ionMg tsgulatians, and fand devei�pment ceguta�tlons�in the ji�risdiction. i�al'so certlEy tha�# ! u�derstand�tha#the regulatbns of other government agen�fes msy�appiy�to the intended wortc� and that it is my�esponsibllity to Identtf��j�u,l�i�t.actions!must t�ke:ta be4ln�cortlpllar�ce�,S.uch:.agencles Include but-are.nat tlmited,to:,� � - Department af �►�vlronmental-�Protection-Cyptess.'Bayhead�� tiVeNand Areas and Environrv�enEa!!y Sensftfve Lands,WatedVNastewater Treatment. " - Southwest Florida Water Management :t�istrict-llVells; Cypress.�"8ay�eads;- Wetland Areas, Altering Watercout�ses. - . _ � � - Army Corps ot Engineers�Seawa!!s,'Docks,Nsvlgalile Waterways. - Department of.Health.:,B,.RehabiAtative,.ServicesLEnvitonmental .h�ea�lth Unit We11si Wastewater=TreaYment; Septic Tanks. . , . �, - - ; - US Environm�ntal Protectlon Ag�ncy-Asbes#as abatement. Federal Aviaiton>Autho�ty,-�Runways. . _ ._ - !uriderstand that the..foflovWng..ros#r!'ctlons appiy to�the use af fil1: - Use of ftll is nat allowed In:Ffood�Zone"V"unless expressly permltt�da _ - if the�1�11 ma#erial�is to� b.e�used'lin:-:�lood=2ane. "A", tt Is understoad that a drainage pl�n addressing a °°aompensating-volume"�wlli:be submitted�at�ime af°.permtfting wbich Is prepared by a prof�ss(ona! engineer � ' � ticensed by�#he�tate�of;Floirida:- ._ - _ _._.. , . , - if th� #iN materiaF�ls to�;be�us.ed tn Fiood Zone "A� in�connectton�with��a permitted:buiiding using stertri wall; cans#ructiar�, !,csttity..t#tat fi!!:�rIEF be;used anfy.to t�l1 the area withln the:s#em=wali. .' � - . � � - !f flll materlal is._to..be �sed�ln�any area;l"�ceitlfy #hat .use of such�fltl wil! nat adverse�v affec# adjacent properties. If use_of fill 1.s founct_to,adversely:�ffect adJacent�pr�perties,.the ovanet may be clted for ufo!'�ting. " the condl#ions'of,the bulldirig"perniit��l§sued=under the.attached,�errnit appllcatlon;far_,lats�.l+�ss=than:one {9) acre wFitcti a�e elevated�6y flti;a�engineered drainage plan l�requlred. . it!am the.AGENT t�OR.7'HE OVYNER; i;promise!n_good fatth to infarm the awner af�#he permitting cond�tia�s se#forth tn this affidavtt`priar to comrrie�acing cans#tuctRan. 1-atiderstanc! thet a-separate peranE!may be requtred for etecMcsl work, „ �. - ,�. �-w plumbing;.,stgns, wells�,pools; air.condltioning�,.gas,_ot`"other Insta�A�oiis na�.spe�c�ic�Ny indctded-ln.the applEcation. .A . . permit Issued'shail be conshued to be�a�'Ilcense to�•p�aceed with��tFie•work and not:as:authority,to,vlolete;��cancel. alter, ar set aside any"provisians of#he.tecFintcat cod�i�; nor shatl tssuan�e�of a.permlt.prevent the Bulldtrig Ol�iclal from ther.eaftec reqairing a c�nection.af errors in„ptans; cor�st�v�#lon oc nio}attans of�any codes. Every p�armit`Issued"stiai0 become inval(d unless the work authorized:by such permlt:�ls.co�mencec�•within sGc�months of�pe�rmit Issuance� or if wark authorized by the permit is.suspended.or:aba�doned-for�.a;periad:of,slx:��)monttis,:after.the:tlme the�wotk�fis commen�ed, An eactension � may be requested�_In wclting; iram tfie.Bullding.Oiflclal for a perlod-.�ot�-to-exceed"nli�ely`(90�days a�d��v1l1 demonstrate justiii�ble cause fior.�the e�ension. li work ceases.for nlnety(90)cons.ecutive days..,th�Job�is.consldered aba�ndoned: WARNING TC? OW�ER: YOUF�..F:.AII.URE.i�O.,RE�CQ�tD,A.;.MtiTIGE::OF:°COMMENCEMEMT..N{AY��RE�UtT IN�YCIUR PAXINl3 TWICE�,FQR:IMPRQ�`tEMEN�`S�Tt?.Y�E?Ui.�=P..RQ�ER'�Y:f-l�Y�D.U�1N�'�E�±tCF`TQ':C�iBT�IiN�=P1i�AP1Efi�fEs;`CONSUI.T WIT A ''�TQ NEI��fl ORLt . ..OR� ��: _U ' , . E ;� ° .. � FLORIDA JURA�•:(F.S:i17:03}, .. ,, °. , . , � . OWNER OR AOENT= . , _. CONTRAGTK! - -- --,^.—_.� ._.—_�__,— Sukfedib++d.anr�gu+n�n�tM.-�ia!s^:sd���,�n�4h;�---_� -- - - {Subscribed'and'�suwin=to - rmed)�belbnai me ftit�. by .�y .. 1Mio Is/are personally.knovm to•me or has/have produced Who.ts�!lare personally �wmta me:orhes/have-prodiJced. � � as Id'entlflcatlon. ' es IdendflcaGon. . ��.. Notsry Publla _ Notary Public ca.w'.�vmu> . ' , CommisslonNo:`«� Com si .N, •,•y�••,,,; �; =F-f. . :*. �,. , . .. . . . Name af Notary iyped,prin�d or stamped Na f No ." �•`pdnted or s�rri�ed � ' �mw,•.,.�..�•�+ """"'' JOEL E.BACON . . �,,h°��°l;e,r''• ;*, °� Cornmission#FF i37073 ;�a ;; Expires June 29,2418 '.��•` gq��7�u Troy Fan Insurmee 800-3A5d018 . ���w�