HomeMy WebLinkAbout16-16890 - CITY OF ZEPHYRHILLS
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(813)780-0020 16 0
ELECTRICAL PERMIT
- PERMIT_INFORMATION� - � � LOCATION INFORMATION '
Permit#:16890 Issued: 1/11/2016 Address: 39345 TABETHA DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 900.00 Total Fees: 40.00 Subdivision: SIXTH AVE
Amount Paid: 40.00 Date Paid: 1/11/2016 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: SEPERATE SERVICE METER BASE 100 AMP
- - � � APPLICATION FEES � ' �
ELECTRICAL FEE 40.00
- � - • - INSPECTIONS REQUIRED � -
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE- T R /J
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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.
"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.
`'1
' G�:J�"'-�
C�NTRACTOR PER OFFI
, •
ERMIT 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-813-780-0021
, .
, -- Butlding Departmertt
Data Recelved Phone Cantact fcr Fermlttin —
Owner's Name ' ��(,�� V'(C� �(��� �L.(_ Owner Phane Number
J n � �
Owner's Address �'J � d ¢ � Owner Phone Number
Fee Slmple Tlkleholder Name �— Owner Phone Number �� �
Fee Simple Titleholder Address �
J L�JOB AbDRESS ��I: �-� � LOT#
SUBDIVISION �— � PARCEL ID# ` �
(OBTAfNED FROM PROPERTY TAX NOTICE}
1NORK PROP4SED NEW CONSTR ADD/ALT Q` SIGM11 Q Q DEMOLISH
e INSTALI. 8 REPAIR
PROPOSED USE t Q SFR [� COMM �� OTHEF2
TYPE OF CONSTRUC'TION . Q q BI.00K � Q FRAME �� STEEI. Q
DE3CFtIPTION OF WORK �-�, �(,�C�Q d C� ��
BUILDING S12E ��_,. S4 FOOTAGE� HEIGHT ��
QBUII.D1hIG � � -`.`"'h�� ,"„
VALUATION QF TOTAL CONSTRUCTION
�ECTRICAL ($ ��� /}������ AMP SERVECE J�j� Q PROGRESS ENERGY Q W.R.E.C.
� �� �
QPLUMBING ($ .. � �✓�J��
�
QMECHANICAL � �. VALUATION OF MECHANtCA�INSTALLATION
QGAS Q f200F1AlG Q SPECIA�TY [� OTHER I
FINISHED FLOOR ELEVATIONS C��_� FLOOD ZQNE AREA QYES NO
BUtLpER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � i
ELECI"RICIAN ����,�� �, COMPANY 'f"" � C'/C.—.
SIGNAI'URE REGISTERED Y/ N FEE CUFtRE� Y N
Addre$s L(cense# ��1�� �~���
PLUMBER COMP.ANY
51GNATURE rte��STeREn' Y/ N FEE CURREA Y/N
Address License# � �
MECHAP!lCAC. COMPAI�IY
SIGNA7URE REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �� � � I
OTliER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N 'i
Address License# � ��
EtESFDENTIAI; Attach(2}Rlot Plans;{2}sets:of:Btiildiag`Plans;{1)set of Energy�Fortns;R O-W Permit far new canstruc�on,_
Minimum.ten_(10),working.daysafte�,subrriittal date. Requireif onsite,Constivc�on Plans,Stormwater Plans w/Silt Fence installed,
Sanitary EaciliUes;&.1.dumpster�,3lte':Work�Permit for subrlivisfonsflarge pra�eots -
� - CONlME'RCtAl. Attach(3}camplete'sefs of Buildirig Plans plus a�ife 8afety Page;{1}set of Energy Fottns.R-O-W Petmit for new construc8on.
Minimum ten(10)working days�after submittal dake. Required onsite,Constructlon Plans,Stortnwater Plans w/Silt Fence installed,
SaNtary FacBit#es&1 dumpsier.Site Wartc Permit for ait ne+iv projecis.Aii cammerciat regutrements must meet corssplkance
SIGN PERMIT Attach(2)sets af Engineered Plans. °
••*"PROPERTY SURVEY required for all NEW construction.
� Directtons:
Fill out applicatlon completely.
Owner&Contractor slgn back af applicatton,natarized
If aver 52800,a Notice of Commencement la required. (A!C upgrades over 57500)
'" Agent(for the contractor)or Power of Attomey(for the ownerj wbuld be someone with notarized letter from awner authorizing same
DVER 1'HE CQUNTER PERMITTING � �.;, (Front of AppllcaBon Only)
Reroofs if shingles Sewers � Service Upgrades A/C �-Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubflc roadways..needs ROW
_ . '
NOTICE OF DEED RESTRICTIONS: The undersigned unde[�tands�th�t,this,p�ermifmay,be�subject to,"deed",restrictions° _ :.`
. . . , .,...:.
which may be�more'-rest�ictWe�th��County�'r+eg�latlons. �The underslgned�assumes responsibiltty for�`compliance�witii��any '
applicable deed restrictions. �
UNLICENSED C.ONTRACTORS AND CONTRACTOR RESPOMSIBILITIES: �If the owner has- hired a contractor or
contractors to undertake work, they may be r�qulred,�to�be;licensed In.accordance.with state.and•local regulations. �If the �
contracto� is not Iicensed:as�requlred�by law, both the owner and�contractor•may be-cited��for�a°�misdemeanor violat(on
under state lavu. if the owner or Intended�contractor�are;uncertafn as to what Iicensing.requirements may=apply��for•the -
: , .
intended work; they are advised to contact'the Pasco County Bullding"In"spection Division—Llcensing Section at 727-847-
8009. Furthermore, tf the owner has hired a cont�acto� o� contrecEoi�s, he Is advfsed to have the contractor(s) sign
portions of the "contractor Block° of thls application for which they will be.responslble. if you, as.fhe owner'stgn�as the "
contractor, that�may be an indication that-he is not.properiy licensed and Is not entitled'to perrriitting privileges in Pasco
County. ' '
TRANSPORTATlON51MPACTlUTILITIE$�rMPAC�`-ANb-RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�:apply�to the construction of new buildings, change�of � ` � "
use in existing buildings, or.expansion�of�existin�g"�6ulldings, as specifled.in Pascv County Ordinance number 89-07 and
90-07, as amended., The undersigned also.understands, that:such fees�,�s:may,be�due,;:will��be identified at the�time of-' � '`
permittfng. It Is furtfier understood that Transportation Impact Fees and•Resou�ce Recovery'Fees.must be paid prlor to
recebving a °certificate.of occupancy" or flnal�power.-release.. :If the project�does.not Involve:a:certificate of occupancy or��- •� '"
flnal power release;:the-.fees must-be paid prior to permit Isspance. Ft�tthermore;if:Pasco_County��Water/�ewer-impact .� ,
fees are due,they:must_be-pald ptior to permiE-Iss4ance=ln accordance witFi appllcable Pascv.County ordinances. I
CONSTRUCTION LIEN�LAW(Chapter 713� Florlda Statutes�as amended); If valuation of work is$2,500.00:or more, L � _ , ��
cerlify that I, lhe appOcant,_ have�been provided with- a copy of the "Florida Construction� Lien Lav+F—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Aifatrs. If the applicant is someone -
other than the"owner", I certlfy that i have,obtained a copy.of,the.above..described docuriient-and.promise tn.good faith to ,
deliver It to_the."ownec"pdor,to•commencemerit: - �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify that all th�Information in thi.s application is accurate.and that all work
will�be done in compliance with all.applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a.permit to do work,.and installation as indicated: I certffj+ that no work:or (nstallatton has
commenced prio�to Issuance of a permit a'nd that.all work will be pertormed to meet standards of all laws regula�ing-
construction, County and City codes, zoning regulations, and land development tegulattons�in the jurisdtct(on. I .also
certify that I understand that the regulat(ons of other government agencies may�apply�to the intended work, and that it is
my responsibility to identify.what.actions I must�take:to be,in:.corrlpliance. Such agencies-include but-are.not Ilmlted to:
- DepaRment of Ehv(ronmental��Protection-Cypress.'Bayhead�, Wetland Areas and Envtronmentaliy Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management i�istrict-Wells, Cypress.� Beyheads� Wetland Areas, Altering
Watercourses. �
- Army Corps of Engtneers-Seawalls, Docks, iVavigable Waterways.
- Department of Health� & Rehabllitative SerdlceslEnvironmental Health Unit-Wells, WasteHrater�Treatment,
Septic Tanks. � ,
- US Environmental Protectlon Agency-Asbestos abatement.
- Federai Avlatlon_Authority-Runways.
I understand that the following:restrictions apply to the use of flll:•
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the flll material is to be used���in ;Flood Zone. "A", it. is understood that�a drainage plan addresstng a
°compensating volume" will be submitted at ttme of permitting which is prepared by a professional engineer
Iicensed by the State of Flor(da. ,
- If the fill material is to be used in Flood Zone °A" in�connec�ion�with.a permitted buildtng using stem wall
� constructlon, i certify that fiil�:wall:b.e�used only.to.flll the area ue►ithin�the�stem wall.
- if flll material is to be used fn any area, I certify that .use. of such flll will not adversely affect adJacent
properties. If use of flll is found to adversely.�ffect ad)acent��properties�.the owner may be cited for violat(ng
the conditions of the building:permit issued•under the�attached�ermit applicatlon, for:lots less�than one (1)
acre which ere elevated�by flll,an engineersd drainaga plan is requtred. .
If 1 am the AGENT FOR THE OWNER, I;.�romise In good fatth to inform the�owner of-the permitttng conditions set forth in
thls affidavtt�prior to commencing conshuction. I understand thata;separate permit may be requlred for electrical work,
plumbing, signs, wells, pools, air conditioning, .gas;'or other. inst�allatlons nol:spec�ically included-in.the appltcation. �A ...
permft Issued shall tie construed to be a'Iicense to-p�oceed with the`work and not as:authority to,violate,�cancel, alter, or
set aside any provisions of the technical codes; nor shall issuance�of a.permtt.prevent the Bulldtrig O#�icial from thereafter
requlring a correction nf errors in�plans, constn�ction or violatlons of any codes. Every permit Issued shall become invalid
unless the work authorized.by such permit is.commenced•withfn sGt months of permit issuance, or If work authorized by
the pe�mit is suspended or.abar�do�ed fo�a:perlod of�six(8)montF�s:after the time the�work Is commenced. An extension
may be requested, in writing, from the Buflding,Offlciai for a period.not to exceed ninety�(90) days and will demonstrate
I justifiable cause for.the extension�. If work ceases.for ninety�(90)consecutive:days�..the Job�is constdered aba�doned.
WARNING TO OWNER: YOUR.FAILURE�TQ.REC.ORD.A NOTIGE OF�COMMENCEMEMT�MAY�RESUlT IN YOUR
PAYING TWICE.FOR:IMPROVEMEN.TS TO YOUR��PR�OPERTY.� IF�YO.U�IN�'FEI�ID"TO`iDBTA1N��FIPtA1�C1NG,��CONSULT
, WITH Y_DU " N A TTO N �B FO. E� � O � �:'� OU ' � C : E CE N �-
FLORIDA JURA�(F.S.1.17.03) ` — � -- -
OWNER O�t AOENT CONTRACTO . '
Subscribed and swom to(or affirmed)b�fore me this Subscrlbed and'swom= r aflirme )�before me�ftils
by
Who is/are personally knowm to.me or has/fiave produced �Who is/are p o o •to me�or has/have•produced •
� as IdentlBcatlon. ' as IdentlflcaUon.
Notary Public _ ofary Public
Commisslon No. Comm slon�No ,.•;s�evs�.,, JAC LINE BOGES
_�. :<= EXpires December 12,�2018
a;
Name ot Notery typed,printed or stamped Name of Notary lyped, 'sta