HomeMy WebLinkAbout16-17657 I'i
! CITY OF ZEPHYRHILLS
q 5335-8th Street
- - (813)780-0020 17657
�� ELECTRICAL PERMIT �`� �
PERMIT INFORMATION LOCATION INFORMATION
Permit�#:17657 Issued: 8/15/2016 Address: 40417 CHANCEY RD #105-106 �
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Fee;t: Est. Value: Book: Page:
Cost: ' 1,100.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amoun� Paid: 45.00 Date Paid: 8/15/2016 Parcel Number: 18-26-22-0010-08400-0000
CONTRACTOR INFORMATION OWNER INFORMATION �
Name: FIRST CLASS ELECTRIC INC Name: THAKRAR, JOSH
Addr: �!7141 BERRY RD. Address: 40417 CHANCEY RD #105-106
��ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542
Phone:;�(813)782-7861 Lic: Phone:
Wo'�k Desc: INSTALLATION THREE PHAE PANEL & HOOK UP LIFT
� APPLICATION FEES .
ELECTRICAL FEE 45.00
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INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE q� � f�
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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
�� 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.
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"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
II before recording your notice of commencement."
Compiete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
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CONTRA R � PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
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813-780-aozo City of Zephyrhills Permif Application Fax 813-780-0027
�! Building Department. .._ .,....�.._ . ., ..
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Date Recaiv�cC, - �..- � �j phone Contact�fo'r Permittfn . ,.
Owner's Namo J��'I Owner Pho�e Number
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Owner's Address d'7 � d1'i� �{U
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Feg Simpl�Tltleliolder Name Qwner Phone Number (
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Fee Slmple Tttlehotder Aildre�s `
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JOB ACIDRESS '7�l I� ��Iah OGt Ge LOT# �
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SUBDiViSION' � �� PARCEL.ID# '
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WC?RK PROPOSED � e � N TALL��� REPAIR � SIGN Q Q DEMOLtSH
PROPOSER:.USE � Q' SFR. Q COMMI Q QTHER
TYPE QF COtdBTEtUCT{ON � Q ' 'BLQC!( " Q FRAME �. STEEL [�
DESCRIPTION OF WORK ~ 1/1 0 �►/�`"'[I �j4 ��' AI�L/� ���'� . ��r �.
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BUIIDINt3 SI�E � �'Sp'FOOTAGE C___�: HEIGHT�.. ��
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QSU!l,DING �$ . � VALUATiOIV�C1F�70TAL CONSl`RUGI`IOIV
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QELECTRlCAL $ � AMP SERVICE �] PROGRESS ENERGY {� W.R.E.C.
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[�PL�MBlfVG (S6 � �
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Q ME�HANICAL $ VALUATlON OF'MECHANICAI INSTALIATION ��{� y
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QGA{S �J ROOFING � SPECIALTY �J 07HER � '', ��""f
FINISHED FLOOR ELEVATIONS � FLOOR ZQNE AREA QYES. NQ
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BWtDER COMPANY=
SICiNATURE REGlSTERED Y/ f�l FEE GURREA Y i N
Addra�s License# ( I
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ELECi'RICfA[+!- ������ ��✓�'� � COMPAA!!Y I�' �' l�-�'�l::
SICsNATURE� �� � REGISTERED Y/ N fEE GURREP° ` Y/N
Addre�s� 7!�/ J�o�( �i Y�i �l 3�.��1� , t�icense# �� Z1.6 O.vZ✓�71� ` �
PLUMBER COMPANY
SIGNATURE', ` REGI3TERED Y/ N Fee cu�n '.Y�!N
Address .License# �� ��
iNECHANICAL , . COMPAl+tY
S1t31VA'1'tJRE� � � REGISTERED �..Y,/ N FEE CURt;EP. Y/-N
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Address '�� License#
OTHER , �� - . ` �,'iCQMPlWY�� `
SIGNAYURE � REGISTERED ' Y/ N... FEE CURRE�' Y/N
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Address ° - ' Ucense#
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RE8IDENTIAI�;1�� Atkach'(2)�PIot.P,laris;,(2�sets of�Building�Plans;'('I}set af Energy�Forrcas;R=Q-1fU Peiinit fa�naw construcUan,
Minimum;terr_(:1.Q).;worictng;days,after,.;subinittal dat"e.`Requlred onslte,:ConstnucBon�Plans,�Stortnwater'Plans w/Silt'Fence InstaUed,
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Sanita'ry`Facfii�es:&;�1.,dumpster-Site`Wortc;Permit#orsu6diriistansllarge.projeots .;_ �; , " - - � �
COMMERCI��L Attach(3j complete sets°'of 8u!!r1lrig Plaris�plus a�Ltfe Safely Page;{1)set of Energy Forms.R-O-W Permi#(or new canstructlon.
i Minimum ten(10)working days'after submittal date. Required onsite,ConsUucHon Plans,Stormwater Plans w/Silt Fence instelled,
°) Santtary Facitittes&1 dumpster.Site Work Permit for att new.projects:.All commerctai requirements must meet comp8ance
SIGN PERM17` AttacYi(2)"sets ot Eriglrieered.Plans., _°,: . . �
� ""'PROPERTY SURVEI'required for all NEW constructlon. •
DlrectRons: '� - -- ..
Fill out ajiplicatlon completely.
� Owner&;'Contractor sign back of appllcadon,notarized
tf over S,�SQO,a NotiC�of Commencement la required. {A!C upgrades over;7500)
__.'* Agent(fa'r the oontractorj ar Fawerr of Attorrie}r(tot ttie�owner}woutd be someone uvitt��notarized letter from awner authorizing same
t�VER THE C,�UN'F`ER.RERMli'f1NG_ --- (Fmnt of Appllca�omOnly} - -
� Reraofs If shinl(es Sawers_ Service Upgrades A(C Fances{Plot/SurveylFootage)
� Drivaways-i+tot over Counter{f on pubiio roadways..neerf's ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned undersetands;.th�t this.;p�tmit.may be,subJect to.."deed"restticttons"
� which may be<more�-test�ictive-than County fegulatlons: �Yhe�under�igned'assunies�responslbiltty for comptlance witii a�y
appflcable deed-restrictions. , ; . ' �
� UNLICEfVSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner h�s hired a contr�ctor or
contractors to undertake work, they m�y be;requiced�:to be:;Ilcensed In accordance.with state.and•local regulatlons. If the
� conlractor ts not Ilcensed �s requlred�by law, both the owner and contractor�may be�cited-for a misdeme�nor violation
under state law. If the owner or In4ended=,contractor are„uncertain as to what Iicensing.requlre�nents may-apply#or�the
intended wrork, they are advis�d to contact the'Pasco County�ullding�lnspection D�vislon—Lic�nsing Sectlon at 727-847-
8009. Funhermore, If #he owner has hired`a contracto� or contractors, he is advi�ed to have the contractor(s) sign
portions of the "contractor Block° of this�application_for,which they will be tesp.onsible. If you,.as.fhe owner'�ign�as th�
contractor, th�t may be an indication that he is not.properly Iicensed and�is not entl�ed to permitting privlleges In Pa�co
County.
TRAPISPORTATION=IMPACT/UTILIYIES=IMPACY ANb RESOURCE R�COVERY FEES: The undersigned understands
- tha¢�'rarrspart�ifo�i� omp��t-F���-�nd-�F�cours� t����v�ey.F�es rn�Y��pPOy:to��h�r.�ns�vet�on of new�uiidlie�gs��change�o�
use in existing bulidings, or,expae�sic�n:of=�existf�i��buildings, as speclfled.in Pasco County Ordinance nurnber 89-07 and
90-07, as amend�d. The undersigned also:understands, that:such fees,.as.may�be�:due,,;w114,�be (dentffied at the�time°of'
permitting. It is further understood Qhat Transportatlon Impact Fees and;Resoucce Recovery�Fees.must be paid prior to
receiving a "ceKiflcate�of occupancy" or flnal-powec�celease. :If the.proJect:;does not involve.a.certificate of occupancy. o�-
final power rel�ase. the fees must be pat� prlor to permit issuance. Ft��th�rmore;if.Pasco County�lNater/Sewer�Impact
fees�re due, they.must.be pald_.prior to permit lssuanc�=in.accordance wltfi appllcable�Pasco County ordinances. •
CONSTRUCTION LIEW I.AW(Chapter 713� Florlda Statutes,a�amended): If valuatlon of work is$2,500.00�or more, I
certify that I, the applicant,_-have-been provtded wlth a copy of the °Florida ConstnicGon Llen Law .—Homeowner's
Protectior� Guide" prepared by the Florida Dep�rtment of Agric.ulture and Consumer Aifairs. If Qhe appllcant is someone
other than the"owner", I certify that I�h�ve.obtalned�a copy.of:the�above..described�docurr�enQ=arad.promisein,good faith to
deliver ft to;the.�`owner"p�ior to�commencement. ' . .
CONTRACTOR`SlOVIINER'S AFFIDAVIT: I ce�tf�y thaGall.the,.lnf.ormatlon in this appllcatlon 6s accurate�nd that ali work
will'be done in campl(ance with all applicabie lawrs r�gulating constnactlon, zoning and�land development. Application is
hereby rr9ade to obtain .a permit to do work .and installatlon as Indicated:• •'I certify thaf no work°or Instellatlon has
commenced pr(or to Issuanc� of'a permlt and th�t-.all work will be pertormed to meet standards of all laws regulating�
construction, County arrd City codes, zon9ng regulatians, and land development cegulatlons-(n the jurisdlctfon. I aE'so
certify that I uc�derstand that the regulat(ons of other government agencies may�apply�to th�intended work, and that i� is
my responsibility to identify.what,actlons I must�take:to be,in�corrlpliance: �uch.agencles Include but�are.not Ifre�ited to:
- Department of E�lvironmental Protectton-Cypress.�B�yhead�; Weiland Areas and Envlronmentally Sensitiv�
Lands,WateNWastewater Treatment.
- Southtwest Florida Water Management .Distrlct-Wells,' Cypress.'�B�y.k��ads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Ret�abllitative Serv(ceslEnvironment�l Healtt� Unit-Weli.s, Wastewater Treatment,
Septic Tanks. � ,
- US Envi�onmental Protectfon Agency-Asbesfos abatement.
- F�deral P►viatton_Authority-Ftunways.
I understand.that the.foliowing..restrictlons apply to tha use of flli:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to b� used: In Flood Zone. "A", It. is understood that a drainege plan addresstng a
acompensating volume" will be submitted at ttme of permift(ng which (s prepared by a professfonal engineer
Iicensed by the�tate of�Florlda.
- If ihe fill material is to be used in Flood Zone 'A� in�connec�fon�wifih�a�permitted building using stem wall
construction., I certify that fltl�:wlll=b.e used oniy.to.flll the area wtthln the�stem�wall.
- If flll rnaterial is to be used in any area, I �certff�r that .use of such flll wlll not advers�ly affect adjacent
p�operties. If use of fill is found to advers�ly:�ffect adJaeent��properties,.the own�r may be clted for violat(ng
the condiGons._of Qhe bi�ilding;permit Issued under the attached.,�erm(t•�pplicatlon, for_.lots.less,than one (1)
acre whicFi are elevated�by f111, a�t engineered dralnage plan is requlred.
If I am the A�ENY FOit 7H� OWNER, I;promise in_good faith to inform the�owner of the permltting conditlor�s set forth In
this affidavit-prior to comro�er�cing const�uction. I undersfand thata-separate perenit may be requtred for electrical work,
plumbing,_.signs, welis, pools; atr condltioning,-.gas,.or othec insfall�tions not•spec�ically included-in.the appiication. .A
permit issued shall be construed to be a�Iicense to�proceed with'the work and,not as authority to,violate,cancel, alter, or
set aside any provisiuns of the technical code�;�nor shall issuance�of a.permit.pcevent the Bulldirig Officlal from thereafter
requiring a correctlo� nf ercors in.plans; cons#ruction or vlolat(ons of�any�codes. .Every permft lssued shall become invalid
unless the wrork authorized by such permit.�ts-commenced•within sGc m.onths of permlt issuance, or if work authorized by
the permit is suspended or.abandoned-for.a�pertod of�six f H)�montf�s.after the.time the�work�is coPnmenced. An extenslon
may be requested, In wr�lting,.frorm the�Building,Officlal for a period.not.to exceed:ninety(90) d�ys a�d will demonstrate
justifiable cause for the extension. If wrork ceases:for ninety(90)cons.ecutive day.sr..th�job�is considered aba�doned.
{NARNING TO OWNER: YOUR.FAILWRE�TO..R�EC.ORD,A_MOTIG� OF-COMOIAENCEME�@T.PNAY RESULT IN 1fOUR
PAYING'iWI.CE FOR IMPROVEMEN�$�TO_YOUf�:PRI�PERTY.�IF°.YO.UzIMTEND�TO'i0BTA1N��FIRtAt�E1NG;'COfV�ULT
WITH YAUR B�@PIDER OR API ATTORNEIf�pEFOREiR�COR�ING�YAUR'�IOTIC�`OF COMIaIENG�I�IENT'
FLORIDl4 JURAT-(F:S:�117.03) - , _ - - �
OWNER OR AOENT COWTRACTO r �
Subscrlbed and swom to(or afllRned)before me 4h1s Sy�scyIbed and's �to(or at�irtned re m�this
bY L7/.�=/ •�_"—�
Who Islare personally known to.me.or.h�s/have produced Who.ls/are ersonally �M me or hes/have.-produced •
� aa Id'entl8catlon. as IdendBcaUon.
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Notery Public �� ` L.z Notary Public
Commisslon No:` Comm �i .No. i
•��""��-. E BOGES �
Name o/Notary typed,printed or stamped fVame e��pd��
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' - :�.,�,:;; Expires December 12,2018
�'.;�PF F,�°,:�`� Bondad Thru Troy Fain Insurance 800�385d019