HomeMy WebLinkAbout16-16891 - CITY OF ZEPHYRHILLS
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(813)780-0020 16891
ELECTRICAL PERMIT
PERMIT INFORMATION - � LOCATION INFORMATION �
Permit#:16891 Issued: 1/11/2016 Address: 39349 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 AMP 100
- � APPLICATION FEES -
ELECTRICAL FEE 40.00
- INSPECTI - EQUI D �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
`u Z
REINSPECTlON 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.
CONTRACTOR PER OFFI
PERMIT 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-813-780-002�
Building Department
�, . . - .
Date Recelved Phone-Contact far Rermittin
� Owner's Name �r! (1p - �/� (,� Owner Phane Number
� � �
Owner's Address .Q ' � Clwner Phane Number
Fee Simple Tltleholder_Name r� � Owner Phane Number �� �
Fee Simple Titlehalder Addresa '
JOBADDRESS � Jt' r- -e� !�Q' � LOT# �
SUBDiViSiQN �� � PARCEL ID#
(OBTAINED FROM PROPERTYTAIf NOTICE�
WQRK PROPOSED 'NEW CONSTR ADDIAt�T � SIGN Q [� DEMOLISN
e INSTALL REPAIR
PROPOSEp llSE Q SFR Q CQMM C,,,� OTHER
TYPE OF CQNSTRUCTION Q BLOCK � Q FRAME � STEEL C]
DESCRIPTION OF WORK � - ' r �G't '�UIC� � L�U A I�
� BUtLDlNG SI2E SQ FOQTAGE� HEIGHt �
QBt1lLDiNG , � � -'`.;._:.�,.., ..,"': .
VA�UATION OF TOTAL CONSTRlIC710N
�EEC,ECTRICAC $ ���T}�'L� AMP SERVICE 1�� Q PROGRESS ENERGY Q W.R.E.C.
V /
OPt�UMBING {� ��1�J��
L � � (
QMEGHANiCAI $ VA�UATION OF MECHANICA�ENSTALlAT10N � 1
� �
Qc�s � Rao�iN� � s�Ecia�.�nr � o�N�R ���
�' FINIBHED F�OOR ELEVATIQNS FLOOD ZONE AREA QYES NO �g
�
i
i BUEi.DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�� Addres� l:icense# � � _
EEECTIt1C1AN ��+ ,, COMPANY C � ����
SIGNATURE ' �G�i��� . REGISTERED Y/ N FEE CURRE� Y N
Address License# �c.�� �� �'�
PLtlMBER COMPANY
SIGNATURE RECaISTEREp Y/ N FEE GURRE� Y/N
Address Ucense# � �
MECHAt+1iCAL CAMPAt�EYY
SIGNATURE REGISTERED Y/ N �e CURrte� Y/N
Address License# � �
�
' BTNER COMPAFIY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addreas '. � License# �� �
REStDEN'i'IAL ��Attach{2}Plaf Plans;.{2)sets af:Bultditig'Plans;{i)set of Energy Famis;.R{}-V1t Pem►1#far new constnrctian,
, Minimum,tem(10)working'days,after;submittal date. Requirei!onsite,Construction Plans;Starmwater Plans w/Silt Fence installed,
Sanitary Factlitles&,,1.;dumpster.,51te`Worlc;Permit for subdivistons/large pro]ects
COMMERCiA� Attach{8)cari�plete sefs af BuililEng'Plans Ptus a Life Safety Page;{i)set af.Energy Forms.R-O-W Permit far new constru4tian.
Minimum ten(10)worlcing days'after submittal date. Required ansite,ConstnuaUon Plans,Stormwater Plans w/Silt Fetice installed,
Sanikary Facili8es 8�1 dumpster.Site Wark Permit for aN new pruJects.All commercfal requlrements must mee!compllance
StGN PERMIT Attadi"(2)sets of Eiiginesred Rlans..,;
""•PROPERTY SURVEY reguired for all NEW consWctlon.
Directions: ,
FIII out applicatian completely.
Owmer 8�Gantractor sign back of appt3catlon,natarized
If ovsr;62500,a Notice of Commencement Is required. (J4/C.upgrade�over ST500j
'• Agent(far ttie contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
dVER TFiE COUN7ER PERMiTTING (Front of Application Oniy) " '
Reroafs if shingles Sewers Service Upgrades A!C =� Fences(Plot/Survey/Footage)
Drlveways-Not over Counter if on putilic roadways..needs ROW
r�:
NOTiCE OF DEED RESTRICTIQN�: The underslgned under�tands�.tl�a4,.thls.p�cmlt.may.be:sub�ect to,"deed"restrlctions° -
which may be�more'�restcictive;than�,County=regulatlons.��The underslgnedmassumes'responsibility for�compliance with arry
applicable deed restcicttons. . � " • _
UNLICENSED CONTRACTORS`AND CONTRACTOR RESPONStBILiTtES: 1f ttie owner�has•�hired a cantracfor ar
cantractors ta undertake wark, they may be:r.eq.ulred_�to b�;llcensed in.accordance.with state.and•local regulations. .�if the
con#racto[ Is not licensed`as��required'by law, botti the owner and ciontraet+or=may be-c3ted for�a-misdemeanor vlolatian
under state law. If the owner or intended>cantractot.erew�uncertaln as to what Iicensing.requi�ements may apply:�forthe -
inkended work+they are advlsed to contact thei Pasco County Buildtng'Inspection Dhrtslon--Lfce±nsing Section at 727-847-
8009. Furthetmore, �ff fhe, owner has hired"a cvntractor of�contrac#ors. he is advised to iiave the contractor(s).sign-
portio�s of the "conkractor Block" of thls applioation tor which they will be.,r.esponsible. . If you�-as.the owner�sign as the
contractor, that�ay be an indica#on that�tie�is not.properiy licensed and Is noY entl�ed to perrriltting prtvlleges In Pasca
County. ' `
TRANSPORTATlON.IMPACTIUI'ILITIE5=IMPAG'�•�ANb�RESOU�tCE RECOVERY PEES:�The underslgned undetstands
that Transportation Impact Fees and.Recours�e Recove.ry.Fees mey:apply;fa the canstruction of new buildings,:change�of °
use in existing buildings; ar..expansion�of-�existirig��6uildings� as specffled.in Pascp County Ordinance number 89-07 and
90-07. as amended.. The under�igned atso.understands, thaE such fees�;as;may��e�:due,:-wli1 be Iderit�fied at t�e time of
pe�mitting. It Is furtlier understaod that Transportatian Impact Fees and Resource Reca�e"ry�Fees musC be paid prior to
recetv�ng a �cerfificate.of accupancy"-ar flnal�power release. :I��the ptaJect does.not invotve a cett�icate of occuparicy or
�nal power release;�the�:fees�:must�be patd pr.ior to permR tssuance. F��thermore���if Pasco County 1Nater/Sewer.Impaat
fees are due�they musk_be�pald.prior ta permitrissuance-In accvrdance w1tf�appllcabls.Pasco�County a�dlnances.
GONSTRUCTtON GIEN'LAltl�(Cfiapter 713�Flatlda Statutes,as amendedj: if vatuatlon of wark is$2,500.00.,or mare, i
certify that I, the applicant,_ have.been pravi.ded with a copy� of tha "Florida-CnnsVuotion�.Llen L;aw—Homeowner's
Pratection GuEde" prep�red by tFie FEorida Departmenf of Agric.ulture and Consumer Affalrs. If the appticant Is sameane
ather than the°owner", I certif�r.that I have.obtained�a copy of the above..described tlocument°and.promise in,good faith to
deliver It to the"owne�'�prio�to�commencemerit:
GONTRACTCIR'S/aWNER'S APFIDAViT: i ceitify#hat alt the irtiformatioro in•thls applicatlon is accurate and that ali work
witl.�be done in compliance with ail appltcable laws regulati�g constructlon, toning and land development. Appltcation (s
hereby made to obtain .a perm�t to do wor`k.and installatian �s tndtCa#ed:� 1 ce�t#y"that na wark�or InstaQattan has
cammenced prlor to Issuance of a permit and that.all work wUl be pertormed ta meet standards of all laws regulating�
const�uckion, Ca�nty and City aodes, zoning regulatlQns, and tand devetopment r.egulatlons•in�the Jurlsdicfbn. 1 also
certify that 1 ur�ders#and that the regula#ions of other government agencies may�apply�ta the intended work, and that it is
my responsibAity to identlfy�what.acttons I must take to be�in..compllance. S,uch agencles.Include but are:not Nmlted to:
- Depattmen# af E�vironmental Protection-Cypress:Bayfieads; V11eNand Areas and Environmen#aliy Sensitive
Lands, Water/Wastewater Treatment.
- Saut#�west Fbr�da Water Management .C�istrtct-Wells, Cyf?t655. �Bayheads; 1Net#attd Areas, Altering
Watercourses. ,
- Army Cnrps of Engineers-SeawaOs, Docks,N�vlgatile Waterways. �
- Department of Health'8 Rehabilitative ServicesiEnvironmental Nea1#h Unit:Welt.s� Was#evuater Treatment,
Septtc Tanks. � _
- US Environmental Pro#ectlan Agency Asbestos abatement. �
- Federal Avlatton.Autharlty-Runways.
I understand that the following:restrictlons appty to the use af flIL•�
- Use af fill is no#altowed in Fiood Zone"V"untess expressly psrmltted. -
- If the fiil material Is to be used.�in �Flood Zane "A"� It. is understood that a drainage plan address[ng a
"aompensating volume�will be submttted at#ime of permttttng whlch is prepared 6y a professiona! engineer
Iicensed by#he�tate•of Flor(da.
- !f the fi1! materiat Es to.be used In Flood Zone "A" in�connec�fon-w#th.a �ermitted buildlrtg using stem wali
� construc#ion, I ce�tify that flii�.wlll�b.e used only.to.flll the area within the�stem�wali.
- If fill mater4al is to be used in any area, 1 �certify #hat .use. of such"fllt wll! not adversely affect adjacent
' properties. If use of filt is found to adversely.affect adja�ent�proiperties,,the awner may be cited for v(oiating
the condl#ions of the building:permit issued under the attached permit applicatlon� for lats less than ane (1)
acre whlch are eleva#ed by fllt,an engEneer�ed drainage plan is required. .
If I am the AGENT FOR THE OWNER, I�promise In good faith ta inform the owner af-the permitting conditlans set forth in
this affidavtt prior to commencing aonatruatlon. f understand that a=separa�� permit may be requked for elecMoal work,
plumbing, signs, weHs, poats; air candttioning,.gas,or other ins#ati�tions nat.,spec�icatly included�in the appiication. .A
permit issued shall be construed to be a license to proceed wlth the wark and not as:authority to:violate;cancel, alter, ar
set aside any provlslons of the techt�IcaGcod�s; nor shalt lssuance�of a.permi#.pr.evet�t the Bulldirig O#ftclsl from thereafter �
requiring a correction Qf errars in plans, cons#ructlon or violatlons of any codes. Every permit Issued shall become invalid
untess the work autharized.by suoh permit:�is.commenced�withtn sf�c m.onth� of petmit tssaance, ar iF work authorfzed by
the permit is suspended or.abaradoned for a:period of slx(8)mon#iis:after the ttme#hs�wark is commenced. An extensian
may be requested, tn writing, ftom tfie 8uilding.Officlal for a perlod nok to excead nlnety�(90) days a�d will demonstrate
just1fa61e cause for.the e�ension: If work ceas�s.for n#nety{90j cons.ecuttve:days...the�ab�is.conslderad aba�+daned.
WARNING TO QWNER: YOUR.FAILURE�TO=R�C.ORD A#�OTlGE OF GOMMENCEMENT MAY RESUL.T IN YOUR
PAYiNG TWICE fOR IMPROVEMENT"�TO_YOUR,�PROF!ER7X. I��YI�U�6M'�'�D►''Q'O;tpB°4AIiV��Fi1�1i�GiPlt�'a,�CONSIJL7
- �Rfl'� - U : = D d � N A, �RNEY�B FO. E�� E��D �D ���rov � �a � c��°a -� c� EN
F�ORIDA,lURAi'{F.S.11T.03) - --
OWNER QR AOENT CONTRACTO �
Subscrlbed and swom to{or af�rtned}beio�e me fhts Subscrlbed snd'swam �( aflirmed�before'me'thi$ .
by
Who is/are personaAy known to.me or has/have praduced Wtia fs/are . a wn•to me or haslhave produced • �
as Iden��t�tlon. as tdenNflcation.
Notery Publlc . �-- Natary Public
Cammisslon No. .� Com st .
'_� Y��:` Commission#FF 150422
...
Nar»e of(Vatary typed.printed o�stamped Name of N � ' '
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