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Home My WebLink About16-17608 i , y � L� CITY OF ZEPHYRHILLS /� �� 5335-8th Street / . ' (813)780-0020 1 �608 ' ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit'#:17608 Issued: 7/28/2016 Address: 38528 38532 9TH AVE � Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. ' Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Propos'ed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: E 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS , Amount Paid: 40.00 Date Paid: 7/28/2016 Parcel Number: 11-26-21-0010-10300-0010 - : CONTRACTOR INFORMATION OWNER INFORMATION , Name: �JAMES O MORTON ELECTRIC CO.,INC. Name: LIST BERNARD Addr: � P.O. BOX 1537 1055 GEIGER RD. Address: 1148 BENSBROOKE DR ,ZEPHYRHILLS, FL 33539-1537 WESLEY CHAPEL FL 33543-8147 Phone:; (813)782-7237 Lic: ER 0002443 Phone: Work Desc: REPLACE RISER 1 APPLICATION FEES ELECTRICAL FEE 40.00 i INSPECTIO S REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL I �� II REIN�PECTION 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 I 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. � 1 � � ��- � 1 CONTRACTOR PER OFFI � � � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER � � 813-780-0�20 City of Zephyrhiils Permit Appiication Fa�c$T3"780'OD2Z � '�� Building Department J� � � . Date Received� " '� phone Contact for Permitting — i `' ' Owner's Name� �/ �� Owner Phone Number Owner's Address s/ � � � Owner Phane Number 9 Fee Simple Titieholder Name �- � Owner Phane Number � � � „ Fee Simple Titlsholder Address J08 ADDRES3 [� �'' � ' LQT# E_�_� SUBDIVISION �— � PARCEl.ID# (4BTAINED FROM PROPER7Y TAX NOTICE) WORK PROPOSED e , NEw cas�sTR 8 ADDJA�T � StGN Q � DEMOk.ISH INSTALI. REPAIR t'ROPOSED USE Q SFR Q COMM [� QTliER TYPE�OF CO�STRUCTION B K �'RAME STE L Q � �— _ . , � � C� t' ./� � DESCRIPTtO i OF WORK BUICL1tidG SIZE SQ FQ4TAGE� HEIGNT Qgu��d1NG � VALUATtON°OF TOTAL CO TRUCT ELE�CTF2tCA� $ � AMP SERVtCEjlv�f'� PROGRESS ENERGY Q W.R.E.C. Q PL IMBING $ � �� QMEGHAtSiCA� $ VALUATtO[�OF M�CHANICA�INSTALLATION '"'�� GA� Q ROOFti3G [� SPEClALTY � QTNEFt v FINISHED FL 3 OR ELEVATIONS FLOOD 20NE AREA QYES NO �� BUlLDER � COIVRPANY SIGNATURE ,, ,,. REGI57EREQ Y/ N FEE CURRE� Y/N Address License# ELECTRfGFAt+t r�• J�� COMPANY `� , 4� SIGNA7URE (/ �� GIS7ERED Y N FEE CURRE� Y/N Adclress ` � �� Liaense# �— £ � PlUMBER CtQMFANY - SIGNATURE, REGISTEREp Y�/ N FEE CURRE� Y/N Address License# � � MECNANIC , COMPANY SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N Add�ess License# OTNER"� COMPAIdY SIGNATURB � REGISTEREp Y/ N FEE CURRE� Y/N Address�. License# �� ' RESIDENTIAl. . Attach{2}Ptat Plans;`(2}:sets of Building�PEans;{lpset of EnergyForms;ft-Q-W,Perm�t for new construction, < , 5. - >Minimum;.ten,(10)working;days after submittal date. Required onsite,Constructian Plans,Stormuvater Plans w/Silt Fence installed, . � Sanitary,.Faciliaes,&.4.dumpster,Site.tNo�ic Permit for subdivisions/large projects � • J COMMERCIA� AtFach(2}complete sets of Building Ptans�plus a Life Safety Page;{1}set a#Energy Forms.R-O-W Permit for new canshvctian. � Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed, Santtary Facilities&1 dumpster.Si#e Wotk Permit fo�aii new projects.A,I)commerciai requirements must ineet compliance SlGN PERMl� Attach(2}sets of:Engineered Plans. *•"*PROPERTY SURVEY required for aII NEW constructian. Direations: � � = FIII out application completely. Owner&Contractar sign back af app(ication,notarized if over$2500,a Notice of Commencement is required. (A/C upgrades ov�r$7500) " Agent(f�r the contractor)or Power of Attomey(far the owner)wauld be someone with notarized letter from owner authorizing same -OVER THE COUNTER t?ERMITTitdG (copy of contract required} ' Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) 5 , Driveways-Not over Cvunter if on pubiic roadways..needs ROW � - � . , , � � - � . - ��_ � _..�. d _ �:�:,. �.. �.s.�.a " � r'6 t NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed" restrictions" ` which may be more.restr.ictive than County regulations::.The:urtdersigned assumes responsibilityfor.car►�ipliance with aiiy ' applicable deed restrictions. �- � � UNUCENSED CONTRACTORS AND GONTRACTOR RESPC?NSIBiLlTIES: if the awcier�has hired a contractor or cantractors ta undertake work, they may be required to be licensed in accordance with state and tocal regulations. Ifi the contractor is not licensed as required by'law, botii�"the awner and contractor rriay be cited�for a riiisdemeanor violation under state laur. {f the owner or intended contractar are uncer#ain as to what ticensirtg requirements may�,apply for-the. intended work, they are advised to contact tlie Pasco County Building Inspection DiVisian=Licensing Section at 727-847- 8409. Furthermore, if the owner has hired�a cantractor or contractors, he is advisec! to ihave the contractor(s} sign portions of the "contractor Block° of this application for which they will be responsible. If you, as the owner sign as=the cantractor, that may be an indication that he is not properly licensed and is nof entitled to permitting privileges in Pasco Caunty. ` � � � TRANSPORTATIOIV IMPACT/UTILITIES IMt?ACT AND RESOURCE RECOVERY FEES: The undersigned understands that Trartsportation Impact Fees anc3 Recaurse Recovecy Fees may apply ta the constructian of new builcfings, charige-of� use in existing buildings, ar expansion of existing buildings, as speci�ed in Pasco County Ordinance number 89-07 and 9Q-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified afitlie tirr�e�of permifting. it is further understood that�Transportation tmpact Fees and Resaurce Recovery Fees must be paid prior to receiving a "certificate of occupancy° or final power release. If the praject does not involve a certi�cate of occupancy�or. final pawer release, the fees must be paid prior to permit issuance. Furthermore, if Pasco.County WaterlSewer Impact fees are due, #hey must be paid prior ta permit issuance in accordance with applicable,Pasco�Caunty ardinances. CONSTRUCTION �tEN LAW(Chapter 713, Flarida Statutes,as amended}: If valuation af work is$2,500.40 or`�noce,_I . certify that (, the applicant, have been pravided virith' a copy. of the "Flarida Cons#ruction Lien Law--�Homeowner's Protectian Guide° prepared by the Florida Department of Rgriculture and Consumer Affairs. If the applicant is someone ather than the"owner�, 1 certify that I have ob#ained a copy of the above describetl document and promise in good_faith to deliver it.to the'°.owner" prior to commencement. Ct}NTRACTOR'SIOWNER'S AFFIDAVIT: 1 certify that all the ir�formation in this application is accurate and that a11 work will be done in compliance with all applicable laws regulating construction, zoning and la�d d�velopment. Application is hereby made to abtain a perrriit to do work and installation as indicated. 1 csrt'tfy thatt na work or irtstalEation has commenced prior to issuance of a permit and tha# aIl work will be performed ta meet staridards of all laws regulating canstruction, Gounty and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also ce�tify that I understand that the regulations ot o#her 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: - Department of Enviranrrtental Protection-Cypress Sayheads, Wetland Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - Southwest Florida Water Managerrtent District-We!!s, Cyptess Bayheads, WeEland Areas, Altering Watercaurses. - Army Carps af Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative SenriceslEnvironmental Heal#h Unit Wells, Wastewater Treatment, 5eptic Tanks. - US Environmsntal Protection Agency-Asbestos abatement. - Federal Aviatian Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fll is nat allowed in Flopd Zone"V"unless expressly permitted. - If the fill material is to be used,in. Flood Zane "A", it is understood that a drainage plan addressing a . "campensating vatume° will be submitted af time of perr�nitting which is prepared by a pro#essional engsneer licensed by the State of Flarida. - If the fill material is to be used in Flaod Zone;"A" in connection with a permitted buildirig using stem wal! construetian, t certify that fifl wviN be vsed only to fill the area within the stem wa(I. - If fill material is to .be used in any area, I certify that use of such fill will not adversely affect adjacent prope�ties. If use of fill is€ound to advetsely affect adjacen# properties, the owner may be cited for vialating the conditions of the building permit issued under the attached permit application, for-lats less than one (1) acre which are elevated by fi!!, 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 permifting conditions set forth in this affidavit prior to commencing construction. ! understand #hat a separate permit may be required for electrica! work, ptumbing, signs, wells, pools, air conditianing, gas, ar other installatians not specifically included in the application. A , permit issued shall be construed to be a license to proceed with the work and no# as authority to violate, cancel, alter, ar set aside any pravisions af the technical codes, nor shall issuance af a permit prevent the Building Official fram therea#ter requiring a correctian of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid unless the wark authorized by such permit is commenced within six months of permit issuance, or if work autharized by the permit is suspended or abandaned for a period.of six(6}manfhs after the time the wark is commenced. An extension may be requested, in wri#ing, fram the Buildirig Official for a period not to exceec�ninety (90) days and will demanstrate justifiable cause for the e�ensian. If wark ceases far ninety{90}consecutive days,the job is cansidered abanc3oned. IAfARNfNG TC? OWNER; YOUR EAlLURE TO RECORD A NQTICE OF COMMENCEMENT MAY RES l.T IN YOUR PAYiNG TWiCE FOR iMP OVEMENTS TO YOUR PROPERTY. IF YOU�INT D TO OBTAIN F1NAN NG, CONSULT _ - -- Eflf'iT�i-iPGi�rt 4:EFii� - API�►TTi�' �i�Y EFt�i�E f��ORDIPIG VC�U i�E C�I�`COM NC� I�'Y. - Fl.ORIDA JURAT(F.S.1 7 3) � OWNER OR AGENT ` CONTRACTOR � Subscr�bed and swom {or affirmed}before me fhls Subscribed and s m ta(ar affitmed}before me this Who is/are nall k wn to me or haslhave praduced �� Who is/are onally kn , to me or haslhave produced as identificatian. as identification. tary Public Notary Public i Comm� i Na Gorrtmisslon No. Name of a� Y Name of IVotary typed,ptinted ar stamped � . ot�.`:��,. ' E iNE 8 GES ' ,;�,�' =•; ..� Commission#FF 15042� :; o; Expires t?ecember 12,2018 ��Q��;�`� BandedTtwTroyFeinlnsurancgBpOJgS•70f9 ° i