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Home My WebLink About16-17642 \ I� " CITY OF ZEPHYRHILLS � + 5335-8th Street (813)780-0020 17642 ELECTRICAL PERMIT i PERMIT INFORMATION ' LOCATION INFORMATION Permit�;�:17642 Issued: 8/08/2016 Address: 5323 BELTRAM DR Permit,iType: ELECTRICAL MISC ZEPHYRHILLS, FL. Class c►f Work: ELECTRIC SERVICE REPLACEME T Township: Range: Propos�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. FeHt: Est. Value: Book: Page: Cost: 900.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amounit Paid: 40.00 Date Paid: 8/08/2016 Parcel Number: 12-26-21-0030-00300-0110 � I CONTRACTOR INFORMATION OWNER INFORMATION Name:' JAMES O MORTON ELECTRIC CO.,INC. Name: NELSON, WILLIAM & JOSEPHINE Addr: P.O. BOX 1537 1055 GEIGER RD. Address: 5323 BELTRAM DR • � ZEPHYRHILLS, FL 33539-1537 ZEPHYRHILLS, FL. 33542 Phone:, (813)782-7237 Lic: ER 0002443 Phone: Wark Desc: CHANGE OUT 100 AMP PANEL I APPLICATION S ' ELECTRICAL FEE 40.00 I ( � INSPECTIONS REC�UIRED ROUGH�LECTRIC CONSTRI�CTION POLE PRE-MET R FINAL I� I i I � REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local Ilgovernment 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 b�e 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. "Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for imp ovements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Comp'ete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City � Codes and Ordinances. I �� . � ✓ CONTRAC OR PER OFFI I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO i CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER s�aaao-ooza City af Zephyrhills Permit Application Fax-813-780-Q021 , � - L• Building Department Date Received� p ne Conta t for Permitting – 'Owner's Name �•�+ �� U t/ Owner Phone Number Owner's Addre s � Owner Phone Number C� � Fee Simple Titl�holder Nama �� Owner Phane Number � � i ' Fee Simple Titleholder Address !. � JOB ADDRES ( � �' LOT# � SUBDiVIStON �— � PARCEl.!D# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPG►SED e , N�w cor�sTR 8 ADDIALT �� S1GN Q � DEMOLiSH IIVSTALL REPAIR PROP03ED UI E Q SFR Q CtJMM � OTHEFt TYPE:OF CON TRUCTION Q BLO K • Q FRAME STEEL DESCRIPTION OF WORK � � � � � BUILDING SI� � � SC)FOOTAGE NEIGHT �,,,,_�__--^� QBUI D1NG � � t/RLUATIOiV°OF TOTAL CONSTRUGTION � ' QELE TR3GAL $ AMP SEF2VICE 1�� PROGF2ESS ENERGY Q W.R.E.C. 6 QP1.0 BING �$ �ME��NANICAL �> � VAIUATlOi3 OF Ni�GHANiCAL 1NSTALLATtON �,/� / � �t� r� OGA� Q R40Ft1VG Q SPECIAl.TY � OTHER � � � }Z>�'' FINISHED FL��OR ELEVATIONS FLOOD ZONE AREA QYES NO Bt3tLDER � � COMPANY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N Address Licen e ELEG7'RICI ` �J��iJ�� . �l f 1 l COMPANY � / �/ � ' SIGNATURE 1`1 � V EGISTERED / N FEE CURRE� Y N Address � � J r �� License# � '� Li � PtUMBER. . COtdiPANY SIGNATURE 'REGISTERED Y/ N FEE CURRE� Y/N I Address License# � MECHANIC � COMPANY SIGIdATURE REGISTERED Y/ N FEE CUFtRE� Y/N /�Cdd�e§s � License# �— � ;z� OTHER' ' CQMPANY SIGNATURE - � REGISTERED Y/ N FEE CURRE� Y/N Addres I� License# �— T� RESIDENTtA Rttach(2}P3ot Ptans;(2)'sets of Bui[ding�Plans;{1}set of Energy.Forms;R-O W.Permit for new construc6on,. „ .� Minimum ten:(10)working'.days after submittal date. Required bnsite,Constnickion Plaqs,Stormwater Plans wl Silt Fence installed, � San�tary,Facilities,&;1.dumpster,Site Work Permit for subdivlsions/large projects COMMERC! Attacfi(2}compl"ete sets af Buitding Plans ptus a LiEe Safe#y Page;{4)set of Energy Forms.R-O-W Permit for new canstruction.;=� � � Minimum ten(10)working days after submittal date. Required onsite,Constructian Plans,Stormwater Plans wl Silt Fence installed, � San9tary Fecilities&1 dumpster.Site UYark Permit fot ail new projects.A(i cammercial requ9rements must meet comptiance � :SIGN PERMII Attach(2j sets of Engineered Pians. ****PROPERTY SURVEY required for aII.NEW cpnstructlon. Di�ectiqns: � Fill out a plication completely. 4wner � Gontractor sign back af applicat�on,nobrized If over �2500,a Notice of Commencement is required. (A/C upgrades over$7500) " Agent{f�r the contractor)or Power of Attomey{for the owner)would he someone with notarized letter from owner authorizing same .OVER 7HE �OUNTER PERMITTING (copy of contract•required) � Reroofs if shi��gles Sewers Service Upgrades'A/C� Fences.(Plot/Survey/Foatage) . � Drivew'ys-Not over Counter if on public roadways..needs ROW �� —_ _ � , - — � �-��,W::�d.t�.:..: _ x . NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject ta"deed" restrictions" which may be more restrictive than County regulatians. The�-unclersigned assumes respa�sibility for cornpliance with any applicable deed res#rictions. '� ' - UNLICENSED CONTRACTORS AND CONTRAC'TQR RESPO�f�i�l�lTIES: If tiie-awner has hir,ed 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 awner and:cantractor may�6e cited far�a misdemeanor violatian under state law. If the awner or in#ended cantractar are unce�tain as to what licensing requirements.may,apply far,,the- intended work, they are advised to contact'the Pasco County Building Inspection Division=Licensing Sectian at 727-847- 8Q09, Fur-thermore, if the owner has hired-a confractor or contractars, he is advised to have the contractar.{s) sign portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as tfie owner sign as #he cantractor, that may be an indication that he is not properly licensed and is.not entitled to permitting privileges in Pasco County. ' ' TRANSPORTATIdN IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Irr3pact Fees and Recourse Recove�r Fees may app[y to the construction af new buitdings, chang,e of use in existing buildings, or expansion of.existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amendecl. The undersigned also u�derstands, that such fees, as may,be due, wiil'be iden#ified at tlie time�of � permitting. ifi is further understood that Transportation impact Fees and Resource�Recavery Fees must be paid prior to receiving a "certificate of occupancy" ar final power release. If the project does nat involve a certificate of occupancy ar final power release, the fees must be paid pr�or ta permit issuance. Furttiermore, if Pasco County WaterlSewer Impact, fees are due, they must be paid prior ta permit issuance in accardance with applicable Pasco County ardinances. CQNSTRUGTIOld �IEN LAW(Chapter 713, Flarida Sfatutes,as amertded}: If valuation af_wark is$2,500.40,or mor.e,�l certify that I, the applicant, have been prbvided with a copy. of the "Florida Construction �Lien Law--Homeawner's Protection Guide" prepared by the F4arida Depar#ment of Agriculture and Consumer Affairs. If the appl�can# is someone other than the"awner�, I certify that 1 have obtained a copy of the above descrbed document and pramise in goad faith to deliver it to the"owner" prior to commencement. CONTRAGTCIR'SIC?WNER'S AFFIDAVIT: 1 ce�tify that a11 the information in this application is accurate and that all wo�k will be done in compliance with all applicable laws regulating canstruction, zoning and land development. Application is hereby'rrtade ta obtain a permit to do wark anci installation as indicated. 1 certify that no work ar installation has commenced prior to issuance af a permit and that all work will be performed ta meet standards of all laws regulating construction, Gounty and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also certify that 1 understand tha#the regulations of ather government agencies may apply ta the intended wark, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include bu#are nat limited to: - Department of EnvironmentaE Protectian-Cyp�ess Bayheads, Wetland Areas and Enviranmentally Sensitive Lands;"Water/Wastewater Treatment. - Southwest Floricla Water Management District-WeAs, Cyptess Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - �epa�finen# of Health & Rehabilitative ServiceslEnviranmental Health Unit Wells, Wastewater Trea#ment, 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 af fi!!is not allowed in Flaod 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 "campensating volume" will.be submitted at time of permi#ting which�is prepared by a professional engineer " licensed by the State of Florida. - <!f the fil! material is #o be used in Flaod Zone "A" in connection with a permitted buildirig using stem wal! canstruction, I certify that fill wiil be used only#o fll the area within the stem wall. - If �II material is ta be used in any area, I certify that use of such fill will not adversely affect adjacent propertles. ]f use of fill is faund to adversely affec#adjacent prape�Eies, the awner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill,an engirieered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith ta inform the owner of the permitting conditians set forth in this affidavit prior to commencing construction. ! understar�d #hat a separate permit may be required €or elec#rical work, plumbing, signs, wells, pools, air canditioning, gas, ar other installations not specifically included in the application. A - . permi# 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 pravisions of the technicaE codes, nar shall issuartce of a permit prevent the Building 4fficial fram thereafter requiring a correction of errors in plans, construction o�vialations 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 wark authorized by the permit+s suspended or abandoned for a period.of six(6}manths after the time the work is'commenced. An eactensian may be requested, in writing, from the Building Official for a period nat to exceed ninety (90) days and will demonstrate justi�able cause far#he extensian. If work ceases far ninety{90)consecutive days,the job is consiciered abandoned. WARNING TQ OWNER: Y UR FAlL.URE TQ RECQRD A NOTtCE O� COM ENGEMENT IVIAY RESU�T !N YOUR PAYING'f'WICE FOR t P VEMENTS TO YO PROPERTY. 1F YO � D TO OBTAIN FI NCING, CON$UI.T_ ___._= dIVITH YOUR L.ENDER AN ATTOR RE RECORDING�f�I� -�W 7'!� r-i�" ��Il�NT. Fl.OR1DA JURAT{F.S,917 _ `��- - �,,,. __-:/I _, _ � _ _ 1('i OWMER OR AGENT CONTRACTOR _ Sabscribed and swom#o ar affinned}befare me this S bscribed a d s om fo(or affirmed}before me thEs by Who is/are personally own to me or has/have producec! � Who is/are p ally kna to me or haslhave produced as identiflcation. ,as identifica6on. Notary Public /�...� Notary Public Cammission No. Comrri ssi ;=q,;�sY:.'e;c; JACQUELINE BQGES FF 5Q422 �Same of IVatary typed,printed or stamped Name of N � ' 'fp�u�s�s2amip�2,?_Oi� • ��!;��gR e�Q:`� Bwided Thru Troy fan Inaurance 800-385-7019 ,�