HomeMy WebLinkAbout16-17634 � CITY OF ZEPHVRHILLS ;'
5335-8th Street .��
(813)780-0020 176�'4
ELEC�'RICAL PERMIT �
PERMIT INFORMATIOiV LOCATION INFORMATION
Permit#:17634 Issued: 8/05/2016 Address: 5924 14TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Fee�: Est. Value: Book: Page:
Cost: 1,953.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 8/05/2016 Parcel Number: 11-26-21-0010-04000-0170
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SPARKY BROS II Name: LIPPINCOTT, CARL &ARLENE
Addr: �400 DOUGLAS AVE STE C Address: 5924 14TH ST
bUNEDIN FL 34698 ZEPHYRHILLS, FL. 33542
Phone: (727)736-4700 Lic: Phone: (813)788-1001
Wo k Desc: ADD 3- 40 AMP CIRCUITS FOR WATER HEATER- 1-30 AMP FOR DRYER
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED �
ROUGH EyECTRIC �1
CONSTRUCTION POLE I
PRE-MET�R I
FINAL �Y�
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REINS�ECTION 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 properly that
may b 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
impr�vements 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.
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CONTRACTOR PER OFFI ',
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO '�
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81�78�20 City of Zephyrhiils Permit Application Fax-eia�ao-ooz�
Building Department
Date Received Phorre Co�G for Perm�tlng 727 362 _ 6807
11111111 11111
Owner's Name Ariene Mae Lippincott Owner Pho�re Number 813-788-1001
Owner's Address 5924 14th St Zepherhills,FI.33542 Owner Phone Number
Fee Simple T18eholder Name Owner Phone Number
Fee Slmpla Tideholder Address
�oe aoDReSs 5924 14th St Ze herhills FI.33542 �oT a �
SUBDIVISION PARCELID# 11-26-21-0010-04000-0170
(OBTAINED FROM PROPERTY TAX NOIIC�
WORK PROPOSED NEW cONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL 8 REPAIR
PROPOSEDUSE Q SFR Q COMM Q OTHER
TYPE OFCONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Add 3-40 am circuits for water heater and 1-30 am circuit for d er
BUILDING SIZE S�FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMPSERVICE Q PROGRESSENERGY Q W.R.E.C.
1953.00
QPLUMBING 5 � n� '�i�
CJ
QMECHANICAL S VALUATION OF MECHANICAL INSTALLATION �{'� / �'
l ��
QGAS Q ROOFlNG Q SPECIALTY Q OTHER
FINISHEDROORELEVATIONS � FLOODZONEAREA QYES NO
BUILDER CpMpqNy
SIGNATURE REGISTERED Y/N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY S 8fk BfO511C
SIGNAiURE REGISTERFD Y/N FEE CURREA Y/N
Address 2170 Sunnydale Blvd Ste X CLW.Fl.33765 License# EC13003714
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREf� Y/N
Addmss License#
MECHANICAL COMPANY
SIGNATURE REGISTERm Y 1 N FEE CURRQ. Y/N
Address License#
07HER COMPANY
SIGNATURE REGISTERm Y/N FEE CURREA Y/N
Address License#
IIIIt11111111111111111111111111111111111It1t1111111111111111111tI11 �
RESIDEN7IAL Attach(2)Plot Plans;(2)sats of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWction,
Minimum ten(10)working days aFter submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slt Fence installed,
Sanitary Fadlities 8 1 dumpster,Sita Work Pertnit for subdivisions/large projeds
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life 5afety Pege;(1)set of Energy Forms.R-0-W Pertnitfor new mnsWction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/SR Fence installed,
Sanitary Fadlides 8 1 dumpster.Site Work Pertnit for all new projects.All commercial 2quirements must meet mmpfiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
••"PROPERTY SURVEY required for all NEW construction.
Directfons:•
Fill out applicatlon comptetety.
OwnerB Contractorsign back of application,notar¢ed
If over 32600,a Notice M Commencement Is requlred. (AIC upgrades over$7b00y
" Agent(for the conUactor)or Power ofAttomey(for the amer)would 6e someone with notarized leHerBom owner aufhorizing same
OVER THE COUNTER PERMI1liNG (copy of contraIX required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic roadways..neecls ROW
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a�a-�eaoozo City of Zephyrhills Permit Application Fax-813-786-0021
� Building Department "
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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 compiiance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they 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,they are advised to contact the Pasco County Building Inspection Division—Licensing Section 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 application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTA710N IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in exisUng buildings, or expansion of existing buildings, as specified in Pasco County 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 of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupanc}r'or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore,if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Ftorida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners
Protection Guide"prepared by the Florida Department 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"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
wlll be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certity that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
' construction, County and City codes, zoning regulations, and land develapment regulations 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 actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, WeUand Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- 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
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A° in connection with a permitted building using stem wall
construction,I certify that fill will 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 fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permft application,for lots less than one(1)
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,
plumbing, signs,wells, pools, air conditioning, gas, or other installations 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 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
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 demonsVate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
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 COM ENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed an bswom to(or affirmed)before me this S scribe a ���(�a��firme��e���hi� �
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Who 1slare personally known to me or haslFiave produced Who islar,personally kno�yn to me or hasJhave produced
as identification. � as ide ification.
Notary Public �� Notary Public
Commisslon No. Commi 'on o.
Name of Notary typed,printed ar stamped Name of Natary typed,printed or stamped
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,;�1'4'tyB�; JACQUELINE BOGES
=•7 •__ Commission#FF 150422
�;k,q;�40�,� B�PtlreNDro cember 12,2018
Y Fain Insurancn Bfq•3B5•7019
Mister Sparky#35
2170 Sunnydale Blvd
Suite X
Clearwater FL 33765 ,
727-733-1757 FAX: 888-959-9619
EC 13003714 Invoice# 319673
�ccount# 115345 Date:. 08/02/16
. . - - Page# 1 of-2
� Service At:
Arlene Lippincott Arlene Lippincott ,
5924 14th St 592414th St
Zephyrhills FL 33542 Zephyrhills FL 33542
Service ate 08/04/16 PO# Job# 221262 Contract# Claim#
Insta113 0 amp circuits for a tankless water heater.
Run 3# -2 w/grnd from the outside panel into the laundry room,
Install, ipe to come out of ye box and penetrate the block wall
into open cavity behind the old water heater that has been
remov�d.Pipe down with one inch pipe 8 inches and add a 1 in.
90 to s�leeve into the open cavity.
Hook u the new tankless water heater.
Install a ew line for a dryer,run a 3 wire with grnd from the inside
panel n the laundry room to the location of the dryer which is
not in he home yet.Wire ran in seal tight.
Desc iption Of Service Quantity Unit Price Extended Price Tax
Ins 13 40 amp circuits 1 $1,106.00 $1,106.00 [JJ
New Outlet 15/20A 120/240V Circuit Dryer 1 $566.00 $566.00 [JJ
Sevi e Charge 1 $59.00 $59.00 [J1
Pe its 1 $222.00 $222.00 0
Balance Due $1,953.00
Terms: ue Upon Receipt Please pay from this Invoice.Thank You
Please Detach and Return with Remittance
Chec Enclosed[ ] Method of Payment Invoice# 319673
Mast r Card[ ] Visa[ ] AmExp[ ] Discover[ ] Date: 08/02/16
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Acct, Exp Date Account# 115345
� Nam on Card
Lippincott,Arlene
Sign ture
Remit To:
Mister Sparky#35
2170 Sunnydale Blvd Amount Due $1,953.00
Suite X
Clearwater FL 33765 Amount Paid
Mister Sparky#35
2170 Sunnydale Blvd
Suite'X
Clearwater FL 33765
727-733=1757 . FAX:888-959-9619
EC 13003714 Invoice# 319673
Accoant# 115345 Date: 08/02/16
Page# 2 of 2
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Work Authorized � Work A proved
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I ennis L. Bryant hereby authorize the following individuals to apply for, sign and pick up
ele�ctrical permits for our company:
D von Jolley
G Ha11
, Je Trembly
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�D nrris L. Bryant
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otary
tate of�"�c3 r"�C�i� County of�i r�.��G�S
�e foregoin was acknowledged before me this�day of +�� ? �C�By
i , i5 �� ��,-�Who is personally known to me or who producec����• ���4� 1 �c���l as
dentification.
j J pp SUSAN M.BEU.
•.: NOTAitY,P�39UC
; '.?� STA'i'E OF FLORIDA
Notary Signature . �FF067855 i
. F�Ires 19/3l2017 I
2170 Sunnydale Blvd.
Suite X
Clearwater,Fl. 33765
Phone: (72'�736-47�0
Fax: (727)674-0197