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HomeMy WebLinkAbout16-17633 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 176 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17633 Issued: 8/04/2016 Address: 37501 MARTINDALE AVE Permit�Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,268.00 Total Fees: 45.00 Subdivision: VALLEYDALE RO ASSOCIATION Amoun, Paid: 45.00 Date Paid: 8/04/2016 Parcel Number: 03-26-21-0170-00000-OGAO CONTRACTOR INFORMATION OWNER INFORMATION Name: DOUBLE M ELECTRIC Name: VALLEYDALE RO ASSOCIATION INC Addr: 40410 RIVER RD Address: 37501 MARTINDALE AVE DADE CITY FL 33525 ZEPHYRHILLS FL 33542-1885 � Phone: (813)713-3150 Lic: Phone: 813-782-6268 Wo�k Desc: REPLACE ELECTRICAL SUB PANEL APPLICATION FEES ELECTRICAL FEE , 45.00 � � INSPECTIONS REQUIRED ROUGH EL�CTRIC �'i CONSTRUCTION POLE PRE-METE�2 �--�� FINAL I REINS ECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local gQvernment 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:I In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be ound 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. "Warn'ing 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 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. C TOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �i s�s- ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 t` Building Department Date Receive�l � I �Phone Contact for Permitting 8�3 35.� — ��.S Owner's Nam `�,�, (,� � �� � //✓(� Owner Phone Number �� ���Z—��g Owner's Addr ss 3?sol r��r�ri�✓a� �v�. Owner Phone Number Fee Simple Ti leholder Name ^'•�' Owner Phone Number � Fee Simple Ti leholder Address �A• JOBADDRES .�J7J�OI ��'��✓�fl� f}YE. LOT# � SUBDIVISIOfd , VA'��yd� M� pARCEL ID# D3'z6%2/�0�7D— OOaO—ORAO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROP �SED B . NEW CONSTR e ADD/ALT �] SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED U E Q SFR Q COMM 0 OTHER TYPE OF CON TRUCTION Q BLOCK - Q FRAME 0 STEEL Q DES RIP � �PGIIG� /,' -N SU�B �LEC'j�JC/rL /0�}/VEL C TIOtd OF WORK I[ F�+T�.'JS� �.Z��MP BUILDING SIZ •�• SQ FOOTAGE�. HEIGHT QBUI ID G $ �/�� VALUATIOtV�OF TOTAL CONSTRUC ON(P,��/� ��rj �_��J/�,EJ /v i � ELE�TRICAL $ /��S' p0 AMP SERVICE Q W.R.E.C. I � �UK� Pow�,2. �PLU BING $ }��CI�S?l�tlG j-QO/9�'�1�cS6�3��G'E. (��t/Cffsy�✓6.Ed QMEC ANICAL $ VALUATION OF M�CHANICAL INSTALLATION � OGAS Q ROOFING Q SPECIALTY OTHER �1 �� � 0 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO %%� BUILDER ` -/ ~ "� COMPANY ��� ��✓S��C%T70>✓ l�✓e•� SIGNATURE /I�tS��IO�7/ /YJ�iy/S�G�Q REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY �""�U�L P� � r C� �'e-"- SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N � ��' Address License# � �7'��'�1�2 �� PLUMBER COMPANY SIGNATURE rte��sTeReo ' Y/ N FEE CURRE� Y/N Address License# ' M ECHANICAL COM PANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER'� COM PANY SIGNATURE.: REGISTERED Y/ N FEE CURREt� Y/N Address�- License# RESIDENTIAL . Attach(2)Plot Plans,'(2)asets of'Building-Plans;(1)set of Energy Forms;R-O-W Permit for new construction, , ;Minimum,.ten(.10)working;days after submittal'date. Required onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work Permit for subdiyisionsAarge projects COBIIfiAERCI�►L. Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Constriiction Plans,Stormwater Plans w/Silt Fence installed, Sanitary,'Facilities&.1 dumpster.Site Work Permit�fo�all new projects.All comme�cial requirements musf ineet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTI'SURVEY required for all NEW construction. Directions: Fill out appli tion completely. Owner&Co Uactor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for thle contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftom owner authorizing same OVER THE COU�ITER PERMITTING (copy of contract requlred) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) I Driveways-IUot over Counter if on public roadways..needs ROW - — �.w.,:�...�-�;,:.._�::�;� NOTICE OF DEED RESTRICTIONS:,The undersigned understands that this permit may be subject to"deed" restrictians" ` which maybe more restrictive than County regulations. The undersigned assumes cespansibility for compliance with any applicable deed,restrictions:� - . ._ . � � , _ � ' - • UNLICEN3ED CQhlTRACTORS AND COIVTRACTOR RESPONSIBILlTIES: If the owner has hired a contractor or ' contractors ta undertake work, they may be required to be licensed in accardance°vuith state and locai regulations: If#he contractor is not licensed as required by"law, botti the awner and�contracfor may�be cited-for�a misdemeanor violatian tander state law. !f the owner or intended.cantrac#or are uncertain as ta what licensing requireriienfs:may�apply for the. intended work, they are advised to contact#he Pasco Caunty Building Inspection Division=Licensing Section at?27-847- 80Q9. Furthermare, if the awner has hired��a contractor or eantractors, he�is aclvised ta have the con#ractor(s� sign portions of the "con#ractor Block" of#his application for which #hey wil) be r.esponsible. If you, as the owner sign as the � i contractor, that may be an indication that he is nat properly Hcensed and is nof entitled to permitting privileges in Pasca Catinty. - -- . �� TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The,undersigned undecstands Ithat Transportation�lmpact Fees and Recourse Recovery' Fees rnay apply to the constructian'of`netnr buildings, ctiange of ` use in existing buildings, or expansion of existing buildings, as specified in Pasoa County Ordinance number 89;07 and , 90-07, as amenc4ed. The undecsignec! also understands, that such fees, as may b.e due, will'be identified at the time of permitting. It is further unders#ood fhat Transportation Impact Fees and Resource�Recavery Fees must be paid prior to receivin a "certificate of occu anc ° o fin o r g p y r a l p w e r e l e a s e. I f t h e p r a l e c t d o e s n a t m v a l v e a c e rt i f i c a t e o f o c c u p a n c y o r final power release, the fees mus# be paid prior to permit issuance. Furthermore, if Pasca Caunty W.a#er/Sewer tmpact fees are due, they must be paid prior to permit issuance in accardance with applicable Pasco County ardinances. CONSTRUCTlON LlEN �AW{Chapter 713,;Florida Statutes,as amended}:.,If valuatEan of wark is$2,500.Q0 ar mor.e, t - certify that I,'�ttie applicant,�ha've been provided with a copy of the °Flarida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant is someone other than the"awner", I certify that I have obtained a copy af the above descri6ed document and pramise in goad faith to deliver it to the"owner" prior to cammencement. CONTFaACTQR'SI{)WNER'S,AFFIDAVIT: I.certify that alI the information in this apptication is''accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to da wark and ins#allatEon as indicated. 1 certify that no work or installation has commenced prior to issuance,af a_permit and that all work will be performed ta meet standards of all laws regulating construction, County and, City cades, zoning regulations, and land development regulations in the jurisdiction. ! also ' � .�certif}i that 1 unders#and tha#�tFie�regulatians�of�ofher government agencies may apply ta 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 nat limited to: - Department af Environmental Protection-Cypress Bayheads, Wet[and Areas and Enviranmantally Sensitive ' Lands,WaterM/astewater Treatment. � - Sauthwest Flarida Water Managet�en# District Wells, Cyptess Bayheads, Wetiand Areas, Altering i _ Watercaurses. Army Corps of Engineers-Seawalls, Dacks, Navigable Wateruvays. � - Depa�tment of Health & ReFtabilita#ive ServiceslEnvironmental Health Uni#-Vtlells, Wastewater Trea#ment, 5eptic Tanks. - US Environmental.,Rrotection Agency-Asbestos abatement. � `l - Federa(Aviation Authority-Runways. ' - __ � � � � � I understand that the following restrictians apply to the use of fill: - Use of fill is not allawed in FEaad Zone"V"unless expressiy permifted. - If the fill material is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a "compensating vatume" wilE be submitted at titrrZe of permitting which is prepared by a professional engineer licensed by the State of Flarida. - !f the fill material is to be used in Flaod Zone "A° in connection with a permitted building using stem wall construction, I certify that fill will be used only to filt the area within the stem wali. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent prape�ties. If use af fill is faund to adversely affect adjacent praperties, the owner may be cifed 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 filt,an engineered drainage plan is required. If( am #he AGENT FOR THE OWNER, I promise in good faith to inform the awner of the permitting conditians set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for elea#ricaf work, plumbing, signs, welts, pools, air conditianing, gas, or other installatians nat specifically inciuded 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, ar set aside any provisions of fhe technical codes, nar shall issuance of a permit prevent the B�ilding C}ificial fram thereafter requiring a carrection of errors in plans, construction or vialations of any codes. Every permit issued shall become invalid unless the wark autharized by such permit is cammenced within six months of permit issuance, or if work authorized by the permif is suspended ar abandoned for a period.of six(6)months after the time the work is`commenced. An ex#ensian may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demanstrate i justifiable cause for the extension. If work ceases for ninety{90}cansecutive days,the job is considered abandaned. ' WARNING Tta OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESU�T IN YOUR ' PAYiNG TWtCE FC>R tMPROVEMENTS TO YOUR PROPERTY. IF YOU�INTEND TO OBTAIN FINANCING, C4NSULT �- � �!!!TFl�(d��..�Q-�;FM��9�-L�E?e4R!-�'[�'O�!l�EV 61E�FQ!�2� I�E���f.�!!+!�Vd?�dP,Ld�3'�C�O��Ol�"�l��!��"!!�l��------- .-- ` FLORIDA JURAT{F.S.11 A3} OWNER OR AGENT�6�����•(,��A�6�'M�' CpNTRACTOR'(/�(.K.-[� �� !�'�o�l7' Subscribed and swom to(or affimted}before me#tt��'s / Su6scribed and swom to ar affirmed beEare me this � cr ( � by by Who is/are personally known to me or has/have produced ` Who is/are personally knawn to me or haslhave produced as ident3fication. as identiFication. Notary Public Natary Public Corratr�ission iVo. Gommissian No. Natne of{Vafary typed,printed ar stamped Wame of Notary typed,p�tnted of stamped • � i i ? �