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Home My WebLink About16-17604 CITY OF ZEPHYRHILLS ;, ' , ' 5335-8th Street ` (813)780-0020 17604 ELECTRICAL.PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17604 Issued: 7/26/2016 Address: 5330 16TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. " Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Fee't: Est. Value: � Book: Page: Cost: 900.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amoun� Paid: 40.00 Date Paid: 7/26/2016 Parcel Number: 11-26-21-0010-17200-0190 CONTRACTOR INFORMATION OWNER INFORMATION Name: NJ ELECTRIC Name: BANK OF AMERICA NA � Addr: P.O. BOX 300227 Address: 7105 CORPORATE DR FERN PARK FL 32730 PLANO TX 75024-4100 Phone: (352)530-2232 Lic: Phone: 800-522-4317 Wock Desc: REPLACE METER BASE APPLICATION FEES ELECTRICAL FEE 40.00 il i � \ I INSPE T ONS R IRED ROUGH ELECTRIC / CONSTRUCTION POLE PRE-METER �� FINAL I I i 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 ;I first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE:�I In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that may bejfound 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 °I before recording your notice of commencement." Comple�e Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City I Codes and Ordinances. I i I ; � , � , i f � � �i CONTRACTOR PER OFFI ; PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ` PROTECT CARD FROM WEATHER � J ' i ; e�aasaoo2o City of Zephyrhills Permit Application Fax-813-780-0021 I Building Department ; i -. Date Received � � Phone Contact for Pertnitting — i' !, Owners Name � � ' B Owner Phone Number _ �-y � � Owners Address � � ,r, Owner Phone Number i Fee Simple Titlehoider Name Owner Phone Number iFee Simple Titleholder Address JOB ADDRESS �� J � �(z LOT# � � SUBDIVISION PARCEL IDl� '� �r- '�O " � 7�- `� � � �Q; �I (OBTAINED FROM PROPERTY TAX NOTICE) � WORK PROPOSED NEW CONSiR ADD/ALT � SIGN Q Q DEMOLISH �I e INSTALL e REPAIR IPROPOSED USE Q SFR Q COMM 0 OTHER � TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q �I DESCRIPTION OF WORK c�,J� I � BUILDING SIZE SQ FOOTAGE� HEIGHT � IQBUILDING $ VALUATION OF TOTAL CONSTRUCTION r iELECTRICAL $� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. I QPLUMBING $ u OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY 0 OTHER � � �-�--.�. FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO V P' C 0 i i 0 i i� i-� .... F-i�. i i.1—�r��r=.T�T.: . . .-�... '�.'� i i BUILDER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I � Address License# � y� I ELECTRICIA� � COMPANY 1 l' � � �G��`� � SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N i [ /� i Address �� J�' � �'�i� ense# � C� � _ o O S 7 3 I � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � Address License# V I' � MECHANICAL COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N I I Address License# I OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i � Address License# f IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111 � RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, � Minimum ten(10)working days after submitlal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, V Sanitary Faciti[ies&1 dumpster,Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction. P Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance � SIGN PERMIT Attach(2)sets of Engineered Plans. i ""PROPERTY SURVEY required for all NEW construction. � 4,F• 4,F• Directions:• � Fill out applica6on completely �I Owner 8 ConVactor sign back of applicaGon,notarized i If over E2500,a Notice of Commencement is required. (A1C upgrades over$7500) " Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faotage) Driveways-Not over Counter if on public roadways..needs ROW l • NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any � applicable deed re'strictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIUTIES: If the owner has hired a contractor or contractors to undertake work,ihey may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation , under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the � intended work,tfiey are advised to contact the Pasw County Building Inspection Division—Licensing Se_ction at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s} sign portions of the"contractor Block"of this apptication for which they will be responsible. If you,as the ownersign as the contractor,thal may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco � County. TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands ,i that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in exisGng buildings,or expansion of existing buildings,as specified in Pasco County Ordinanae number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be idenGfied at the time of pertnitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to ; receiving a"certificate of occupancy"or fnai power release. If the project does not involve a certificate of occupancy or final power reiease,the fees must be paid prior to permit issuance. Furthermore,if Pasco County WateNSewer Impact fees are due,they inust be paid prior to permit issuance in accordance with applicable Pascb County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the appiicant, haye been provided with a copy of the "Florida Construction Lien Law--Homeowner's �i Pro{ection Guide"prepared by the Florida DepaAment of Agriculture and Consumer Affairs. If the applicant is someone � other than the"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the°owner'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certiy that all the information in this application is accurate and that all work � will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is a hereby made to obtain a pertnit to do work and installation as indica4ed. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating iconstruction, County and Ciry codes,zoning regulations, and land development�egulaUons in the jurisdiction. I also � certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is � my resPonsibility to identify what action"s I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads,Wetland Areas and Environmentaliy Sensitive Lands,WaterJWastewater Treatment � - Southwest Florida Water Management District-Wells, Cyp[ess Bayheads, Wetland Areas, Altering � Watercourses. - Army Corps of Engineers-Seawalis,Docks,Navigable Watervvays. - Department of Health 8� Rehabilita6ve Services/Environmentai Heaith Unit-Welis, Wastewater Treatment, Septic Tanks. - US Environmentai Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: I - Use of fill is not allowed in'Flood Zone"V"unless expressly permitted. �' - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a i "compensating volume"will tie submitied at time of permitting which is preparetl by a professional engineer Iicensed by the State of Florida. - If the fill material is to be used in Flood Zone"A"in connection with a pe_rmitted building using stem wall � construction,I certify that fill-will be used only to fili the area withiri tFie stem wail. � - If fill material is to be used in any area, I certify that use of such fili wiil not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,ihe owner may be citetl for violating i the condilions of the buiiding permit issued under the atiached permif application,for lots less than one(1) I acre which are elevated by fill,an,engineered drainage plan is required. � If I am the AGENT FOR THE OWNER,I promise in good 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 for electrical work, ti plumbing,signs;welis, pools, air conditioning, gas,o�other installations not specifically.inciuded in the application. A ti permit issued sha11 be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or ' set aside any prodisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid � unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by i the permit is suspended or abandoned for a period of six(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 I Justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUI2 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 COMMENCEMENT. FLORIDA"JURAT(F.S,117.03) � � �p OWNERORAGENT CONTRACT .F� S scrib d and swo ( r �rtn d) for me this �, Subsuibed and swom lg�(or affi d}be is � C� � by 9 � ,�i by I-1 i r �r _ n .Cv � /f 1 o js/a e personatly known to me or has/have produced Who islare personally n�v t e oTFasfia p u —v � �•-Q• as idenUtiration. as identifip6on. J��— — Nolary Public / \��`�Notary ublic �p�t�C' 8�„ csa Commissian No. J C isston o. � � t� �� ye ��jl �!�d��.�6�0 �i �`��' � , f �->��._,.E_ G`�v��v �.�L� � 'd Vl.�- CP C/r v_ ''� Nartie;auNohary tj�peii;prinled br stamped �� Na of Natary typed,pnn ed or stamped � s � -- -- ��Q��Of��C� ." �'� JENNtFER IWIl3HT CECIL r'�° .,�' � F� ,��i.,, � , '~ '� MY COMIMSSION N Fi9t7878 - •��.�.-,,��,� C�'�f Canm.E�rca��`ov.14,�i�i � ..� . EXP�REB Sep»mber t4,2019 '�'�� H071�c,S1 i 3orvkr.00m il 'i j i� �� , , � �J If+l WIRING BY SERVICE P.O.BOX 300227 INDUSTRIAL �� ELECTRIC CO• FEPH (352)530-2232 RESIDENTIAL COMIvIERCIAL FAX(352)530-2044 EC 0002730 ELECTRICAL CONTRACTORS EC 13005463 �� ,� �I I �ity of Zephyrhills- Building I�ept. 5335 �th Street, Zephyrhills, FL 33542 Phone: 813-780-0020 i To Whom it May Concern, Nick Defazio give the following people permission to apply for permits, pay for permits and �pick up permits on my behalf. � i 1. Jennifer Cecil � 2. Chase Branam I 3. Denise Wolff I �Thanks yo f �Nick Defazio � i i � I I I Subscribed and sworn to(affirmed before me)this c�c} 6 by Y � �w��lC ��l/j��,Q i (Date) (Name of person) i ! who i known to me personall or has produced as identification. i - (Type of Identification) ', � � � � ��s Qw�mo4we cs�o�c��o+� � otary Si n ture �•� BtOZ'vL�S S9LildX3 % eteua��u n�assiwwo��w a: ;.: 11�3�1HtNN�Zl3dIMN3P ��