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Home My WebLink About16-17584 �, i CITY OF ZEPHYRHILLS -�" a -r�� %_. 5335-8th Street ', - (813)780-0020 �� 584 I ELECTRICAL PERMIT 'r � PERMIT INFORMATION LOCATION INFORMATION Permit#:17584 Issued: 7/19/2016 Address: 5655 19TH ST Perm�t Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Classlof Work: ELECTRIC SERVICE REPLACEME T Township: Range: Propa'�sed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: � 10.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 7/19/2016 Parcel Number: 11-26-21-0010-10900-0010 CONTRACTOR INFORMATION ' OWNER INFORMATION Name: HOMEOWNER Name: NEAR PENNY ' Addr: Address: 5655 19TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: 813-778-4495 Work Desc: TEMP POWER W/PANEL BOX ' APPLICATION FEES ELECTRICAL FEE 40.00 � INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRU�CTION POLE �RE-METER � � , FINAL I � ` i �1 � _ i� � REINSPECTION FEES:(c)With respect to Reinspection fees will comply with I rida 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 I first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE:� In addition to the requirements of this permit, there may be addi�ional 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 impro�ements to your property. If you intend to obtain financing,consult with your lender or an attorney Ibefore 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. ', i � � � , ONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER . j aTs��ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 , Building Department , � 4'� � Dafe Receivetl phone Contact for Permitting Clwner's Ha le �, (� E.'l.�i..tr Owner Phone Number G313' �7O' ��.3 ; � � ' Qwner's Address ,�(r��5 � `��'f'? �• Owner Phone Number �, Fee Simple Titleholder Name � Owner Phone Number � � i� �--- i ) Fee Simple Ti�leholder Address ; r 30B ADDRESS r_jD S�Jr l�`�1 ��' LOT# [i�� ! � � , SUBDtViStON �— � PARCEL ID# ; � {q8TA1NED FROM PROPERTYTAX NdTICE} � ' � � WORK PR4P.'SED �tEW CONSTR ADDlA�T � SIGN [� Q DEMfJLtSH ' � { e INSTALL 8 REPAIR � E PRaP05Ea U�SE Q SFR Q COMM � OTNER i i TYpE OF CO�STRUCTION Q BLOCK Q FRAME � S7EE� Q ! il � i � DESCRIPTIO OF WORK ' j � ,� ' BUiLDING SiZE � � SQ FOQTAGE� HEtGHT ' � I , �8��lNG $ VALUATION OF TOTAL CONSTRUCTION � AMP SERVtCE � PROGRESS ENERGY � W.R.E.C. �ELECTRICAL $ j� �� PLU�BING $ �� QMEC ANICAL $ VALUATION QF MEGHANICAL INSTRLLRTION i QGAS� Q ROOFING Q SPECIALTY 0 OTNER FINISHED FLQOiR ELEVATIQNS FLOOD ZONE AfZEA DYES NO ' I �—� SUt�DER COMPANY SIGNATURE � ,�P/y"i–�- REGtsTEReo Y i N FEe CURREa Y/N Address � � [ 9� • License# �� : ELECTRtC1AN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRER Y/R1 Address i License# �— �� .� P�UiU1BER i COMPANY SIGNATURE �� _ REGISTBRED Y I N FEE CURRER Y J N i Address �� Liaense# � � � � MECHANICAL ` COMPANY � SIGNATURE REGlSTERED Y/ N FEE CURREP Y 1 N i Address License# r— �`�� ; � � OTHER COMPANY � SIGNATURE REGISTERED Y! N FEF cu�RE� Y!N Address License# � RESIDENTtAL A#tach(2)Piat Pians;{2)sets of Suitding Plans;(1}set of Energy Forms;R-O-W Fermif for new construction, Minimum ten{10)working days after submi#al date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, __ _ Sanitary.Facilities&1 dumpster;Site Work Permit for subdivisions/large projects � -, CO{VIMEI2CIAL Attach{2}complete sets of Buitding Plans plus a Life Safety Page;(1}set of Energy Farms.R-O-W Permit for new construction. Minimum ten(40)working days after submitkaf date. Required onsite,Const�ctian Pians,Stormwater P►ans wt Sitt Fsnce installed, Sanitary Facilities&1 dumpster.Site Wark Permit for all new projects.All commeraial requirements must meet complianoe SiGN PERMIT Attaah(2)sets of Engineered Pians. ; "*'PR4PERTY SURVEY required for a11 NEW construcfion. � Directions: ' Filf aut appiication compieteiy. � Qwner&Co�ntraotor sign baok of application,notarized if over$250d,a Notice of Commencement is required. (A/C upgrades over$7500) , '* Agent tfor thle contractor)or Power of Attorney(for#he owner)would be someone with notarized letter ftom owner authorizing same ; OVER THE COU�VTER PERMITTING.-_<• -(copy,yof corifractjregui'red) -•- ' _. , �- , . ' j Reroofs if shingle� Sewers :,Service Upgrades,>AJG Fences(Plo#/Survey/Footage} ; , Y ' . �I 'g ;a , � •�I} 1:' . .t ' � .7 ! Driveways-Not aver Counter if on:public roadways..needs ROW ` ' ,_ , � `' � _. .., ..._�_ �.:,, w' ,..,. .. ,., _� t - .. .. ...... . . . . ... � . .�. - ;. I i i __. — .,-� . . NOTICE OF DEED RE$TRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be mare restrictive than Caunty regula#ions. The undersigned assumes respansibility for campliance with any ` applicable deed restrictions. UNLICENSED C�NTRACTORS AND CC?NTRAGTOR RESPONSEBILITIES: If the owner has hired a contractor or contracfors to undertake work, #hey may be required to be licensed in accordance with state and lacal regulatians. If the contractor is not licens�d as required by law, bath the owner and contractor may be eited for a misdemeanor vioiatian under state law. If the owner or intended contractor are uncertain as to what licensing requirements may appiy for the intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermare, �f the owner has hired a cantractar or contractors, he is advised ta have the cantractor{s) sign portians of the "cantractar Black" of this applicatian for which they will be responsible. If you, as the owner sign as the contractor, that may be an indicatian that he is nat properly licensed and is not entitled #o permitting privileges in Pasco Coun#y. TRANSPORTATION IMPACT/IITILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands #hat Transportation Impact Fees and Recourse Recavety Fees may apply ta the canstruction af new buildings, change af use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time af permitting. It is further understood that Transportation Impac# Fees and Resource Recovery Fees mus# be paid prior to receiving a "certificate of occupancy" ar fina! power release. 1f the project does not involve a certificate of occupancy or final power release, the fees must be paid prior ta permit issuance. Furthermare, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUGTlON I.IEN �AW(Chapfier 713, Elorida S#atutes,as amentEed): (f valuation of work is$2,500.00 or more, 1 certify that I, the applicant, have been provided with a copy of the "Florida Constructian Lien Law—Homeowner's Protectian Guide" prepared by the Florida Departrnent of Agriculture and Cansumer Affairs. If the applicant is sorneone other than the"owne�', I certify that( have abtained a capy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRAGTOR'SIOWNER'S AFFIDAVIT: I certify that all the informatian in this applicatian is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is hereby rrzade to abtain a permit to do work and instatlatian as indicat�d. 1 certify that na work or installatian has commenced prior to issuance of a permit and that all work will be perfarmed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa certify that I understand #hat the regu(ations of other gavernment agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Depa�tment of Environmental Pratecfion-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive Lands,Water/Wastewater Treatment. - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, A[tee�ng Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department af Health & Rehabilitative Services/Environmental Health Unit Welis, Vtlastewater Treatment, Septic Tanks. - US EnvironmentaE Pratectian Agency-Asbestas abatement. - Federa)Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fil( is not allawed in Fiood Zane"1/" un(ess expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - !f the �I! material is to be used in Fload Zorte "A" in connection with a permitted building using stem wall construction, I certify that fill wilt be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fil! will not adversely affect adjacent properties. If use of fiEl is faund to adversely affec#adjacent properties, the awner may be cited for vioiating the conditions of the building permit issued under the a#tached permit applicatian, for lots less than one (1) acre wh9ch are eEevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in goad faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required far electrical work, plumbing, signs, weNs, pools, air conditioning, gas, or other installafions not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical coctes, nor shall issuance of a permit prevent the Building tJfficial fram thereafter requiring a correctian of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid unless the work authorized by such perm[t is commenced within six months of permit issuanee, or if work autharized by the permit is suspended or abandoned for a periad of siic(6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause fior the extension. .lf work ceases far ninety{90}cansecutive days,the job is cansidered abandoned. WARNlNG TQ C?WNER: Yt3UR FAt�URE TO RECORD A NOTICE OF CQMiVfENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PRQPERTY. IF YOU INTEND TO OBTAIN FINANCING, GONSULT _ _lA117l�!V�lllR�LEd�lDLF�2-06a-�A�l=l�'d'TC2i3tv�EY-BEFG?RE-�R�GG'�4�6E�tG YQt9R-4'�07'IGe-��-C4�t1t"i�i�iiiC€iY7c�'�i i:-` -"- --"__—__ _ FLQRIDA JllRA7(F.S. 97.03} QWNEE2 OR AGENT ��L- GONTRACTCIR � C ` Subscribed and swo to{or aifii d) ef re rne this Subscribed and swom (or affi e � efor me this � __.._. Who islare ona!y know m�or haslhave produced Who islar ersonal! wn t e ar hasthave produced �" as identifica6on. as identification. ��f� � Lt� � �r� Notary Public r � �^ z'��-'l I'� '��"� Notary Public C m ��i � Gom s on No. �� ,,,,'Y a,,.,, � � ..y JACQUELINE BOGES ;��•. JACQU�LIN�6bGES '� . 1 f',A� _r. n. �= :R= Commf Rlame af N '=pp��l�,tg��{� 2a�8 Name of Notary e' ' �o ��ember 12,2p�g ��'.�d F;,°°:'�� Bonded fhru Troy Khln InsUt6ncn 800=866•7018 'Pf'�,,,+ ��?�u Troy Feln I��ron�o BOp.3g5.7019 �_��q