HomeMy WebLinkAbout16-17708 .- � �r CITY OF ZEPHYRHILLS
i 5335-8th Street
(813)780-0020 1770
� ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17708 Issued: 9/06/2016 Address: 5345 SATSUMA DR
Permit '�ype: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class ofr Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: al 600.00 Total Fees: 40.00 Subdivision: ZEPHYR HEIGHTS
Amount�Paid: 40.00 Date Paid: 9/06/2016 Parcel Number: 12-26-21-0040-00500-0090
i CONTRACTOR INFORMATION OWNER WFORMATION
Name: LEWMAN ELECTRIC LLC Name: ENDER19 LLC
Addr: �2109 E. EDGEWOOD DR. Address: 9664 ORANGE JASMINE WAY
�LAKELAND FL 33803 TAMPA FL 33647-3021
Phone:i(863)398-0495 Lic: Phone: 813-778-1840
Wo'rk Desc: PARTIAL REWIRE BATH &A/C FIRE DAMAGE
APPLICATION FEES
ELECTRICAL FEE 40.00
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�i INSPECTIO R QUI E �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL '� � � i
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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 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.
"Wa�ning 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 commencement."
Complli te Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
ICALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
, PROTECT CARD FROM WEATHER
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a��-�so,�o�o City of Zephyrhills Permit Application Fax-813-T80-oo�� ,
! Building Department
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Date Received � . P.,hone=Cantact�forPermlttln
Owner's Nam I ���� l g C�� Owner Pfiane Number C��3� �7��{g��
Owne�'s Addre�s R'� ��c 'J��' ��,.�v'^'; r�i ��S �(..,. Owaer Phona Number �`r �
Fee Simple Tl�leholder Name ���� ` � Owner Phone Number � �
;8,'
Fee Simple TI�eholder Address •
JOB ADDRE$S J 3�� ������� ��"'. LOT# �
SUBD1ViS10N � �—!^� PARCEI.ID� •
- (08TAINED FROM.PROPERTY,TAX NOTICE)
WGRIC FROPQSED• NEW.CONSTR ADD/ALT Q SlGN' "C] ' �Q DEMOClSH �
e:. INSTALL �� REPAIR
PROP'OSEDt SE Q SFR� �] GOMM � 07HER � ' •
TYPE OF CCl�S"fRUCT10N Q ° BLOCK '' `Q FRAME [� S7EEL Q .
DE,SCR1PTiQA1 OF WORK` , � ^ �� ��t.�i�P2.� '
�UiLD1NGSi�E `�' �'St�Ft)OTAGE C�]; .. HEIGHT��.��
, QBUp LDING � .-,��-...-.. VALUATION"�`F'TO'i'AL CC1tVST'RllCTiO3+!..`.. ,
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[�ELECTRICAL $ f�� .- AMP SERVICE �Q " PFtOGRESS ENERGI( Q W:R.E.C.
t.(� 1
QPL MBINO � �� - ' � �
[�M CHANICAI. $ ' ! VALUATIOtJ OF�MECHANICAI.INSTALLA710N
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QGAS Q ROOFING .Q SPECIAITY �� � OTHER • `
FINISHED FI!OOR ELEVA710NS � FLOOD ZONE AREA QYES ,Np �
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BUlLDER G4'?MPAAIY - . .
31GNATURE REGISTERED Y/'N . � 'FEE GURRE� `' ' Y/N'
Address ' - Cicense# � � !�
EtECTRICl�•. _ _ �----- ' '<COt�PAAl�ttY � L�'�`1m�I/� ��°�C�f'r'r'C
SIGNATUR�� � '' REGISTERED 1 N FEE GURREK r , �.N,
'�'� �9�0 ���=�, ��� �s �.. ��ti�t i �� 1300_��'31
Address � � �s�.c . License# . I
PLUMBER �_ _ � , - COMPANY�., , ° ,
SIGNATURE` ' `�' . �, 4 ,REGISTERED YI�N FEE CURRE� " Y I N.
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MECFlANlCIi4L". . - , • " .. • , „ COMPANIf . ,
SIGNATURC '� ` '- � REGISTER@D .Y../ N FEE GURRE� Y,IPN
Addre i"sss�` ���, ,, � - _ , ' � . license#
OTHER �I> ` - � - ' ` " . `COMPANY � , , . ,
SIGNATUR�. �.; . . � �'� .' ' " ''R�GisTE�o', . ` Y/ N_.,;, � Flee cutti�h Y/N
Addr��� �` _ - ,-° . . , `� � License#��� ' �,
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RESIDENTlAL',;�=EAtkach(2),PIot�Rlan's`;.(2)sefs:of�Building'�Plans;O sef of En`e'rgy�Foiins;'�R=0-1N'Pemilt for naw construction, '
1�- t,rr;.Minlmum;tenr(.1.0)'wo,ri�ing�days,°after;submi#tal date.<;R'equired onsite;�Gonstructlon:Rians;tStoimwater Pians wi Silt'Fence 3nstaHed,
il ..' .Sanl�ary�Facititles;&r1.,dumpster�Site Work;Pesmit;for,sutidiVistonsllarge;prdJects, .�;,-,� "` . �
CONI�l�RG1Al. Atlach{3)�complele'sef's of'Builifing''Plans plus a�Life 58f�fy Page;('I)set of Energy Forms.R-O W Permit for new construckion.
' Minimum ten(10)warlcing days'after submlktal date. Required onsite,Constructipn Plans,Stormwatar Ptans w!Sitt Fencs instatted,
i Sanitary facfl{Nes&1 dumpster.Site Work Perznit fos ali new�proJects:.Ait ccmmerciai requiremenis.must mest campttance '
SfGN PERt'1flT Attactti{2)sefs'cifEngine,er,ed,Plaiis.,.� =���_�� , >�:��•- . ' �
� "••"PROPERTY SURVEY reyuired for aII.tVEW conshuction..
Dlreations'� � . ,.. e - � . _
Fill out applicadon completely. `�
Owne;�&Contractar stgn back of applicatton,notarizad
If ave��2500�a Notics.of.Commer�csmerrt t�requlred. {AtC upgr�des aver�7540)
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"' Agenti(for ihe`i�ntractor)6r`Pouver of'Attomey(for tk�e�owner)`wou!'d be�someone with notarized letter from awner authorizing same
ov�r���cou���t.P�tt�imK�-...�._;_t�ro�t-���a�����o�o��y� _. ._
Reroafs if shingles Sewers Service Upgrades A/C Fenc�as(PIoUSurvey/Footage)
Drivs aya-Not over Counter if on public roadu�yrs..itieeds ROW
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NOTiCE.OF DEED RESTRICTIONS: The undersigned;undergtands-.th�t�thls�p�cmit may_be,subJect to_"deed",,restrictlons"�, ��`._,;;. �,�
which may-�e=more�restfictive-th���County'�regri,latfons.'�7Ne�:undersigned a§sumes°respc�nsltill(ty`,for conipliance�witii"any" �r
applicabie.deed restrictlons. >. :.�-M,��.-- .. .: = � _ ..... ... . ....� .,.-._ -_..� `°� : : ' �� -
11NL.ICENSED�CONTRACTORS AND CONTRACTOR RESPONSIBILITI�S: -1f�the���owner�has���hired�a�aontracto� or
contractors to undertake work, they may.:be;r..e�quire.d:_to,�be;licensed In.accordance.w[th state.and,local:tegulatlons.:�.If'the���`° � _�
contractor Is-not Itcen'sed as�reyulred=tiy law, tiottrthe owner and�convactor��may be��cited�for°a�misdemeanor violatlon
under state law. if the owner or Intended�.co,ntrac�tor;are.;uncertaln as to what Iicensing_,requirements;'mayi.appfy«for�°the'� � � � ���
i intended work, they are:'advised to contact ttie PascorCounty Bullding`Inspection-Dlvlslon-L•tcensing�Section at 727-847-
8008. Furthermore� If the owner'has�hlred a cont�acfor o� contractors� ne �s �dvised to have�the contractor(s),sign.
portions of the °conttactor.,Block".of this_appilcation.;for which.they will�be.r.esp.onsible. :If=you,�as;#he ow'n"'e�''sign"as`the' '"��"' � �
contractor, 1G�at may'be an indication that'Fie"Is not.prope�ly�Iicensed�antl�`is�not entitled`to permitting�privileges In Pasco
County. ,, + �.. _.. �;�.: �:� s
, TRANSPOftTAT10N=1MPACTIUTILITIES�IMPAC�'=ANb RESOURCE RECOVERY FEES:��The unde�stgned uriderstands
that Transportation Impact Fees and.Reco.urse Recove.ry.Fees may;apply�;to�tf�e;cons�uction of new buildings,_.change'of=-' `�=� �
use fn exis8ng buildings, or,expar�si�n>of.+existi�i,g:�buildings� as specifled.in P�sco County Ordinance number 89-07 and
90-07, as amended.,f.The undersigned also:und�rstands� thait'such fee�;;as�may:tie°�.due;i.wlll:�be tdeMifled at the�time�of.}� ���'- �'`
permitting. It Is further understood that Transportatlon Impact�Fees and Resource.`Recovery;Fees'..musf be paid prior to
rece�vtng-a 'certiflcate=of�occupancy" or flnahpowerrelease:�:I��the.proJect:.does;.not involve;a:.certificate of occupancy�o���'�=�-=�_ �'
flnal power�release;,the;fees'mu�t�be paid�;prior to;permft Issuance. F��thermore;�if Pasco:County'1Nater/Seweri,lmpact : .. . ,
feesaredue,,they�must,be;pald,pridrto.permit�Iss4ance=�n:accordancewith..applicable_Pasco'�Countji_�o�dinances. �
CONSTRUCTION'LIEN'LAW"(Cliapter T13,�FloMda Statut�s��a amended): If valuatlon of work Is$2,500.00�ormoce, I� _ . .,�
certify that-I, #he. applicant,-have�.been .pmvided� wtth-a�-copyl of:.:the�°Florida�Constructton�°Llen�Law—Homeowner's
Protection Guide" prepared by the Florida Deperfinent�of Agric.ulture and Consumer,Affairs. if the applicant is someone ...- - _,
other than th�"owner", I certifjrYthat I,.h�ve;obtalned�a��copy.of the�above.rlescritied tlocuri�ent;and�_p,r.omise>in;good,faith�to , wt
deliver It to.the`owne�':pi�or�to�comri�encement:�'i` .'- '" ' � . ,� - ' - - • -
CONTR�ACTOR'SlOWNER'S AFFIDAVIT: I.ce�tffy::tti;at:all:the:,lnf.ormation:ln:thls appllcatlon is accurate.and that all work
will'be done in compllance with all appltcable laws regulating constructlon, zoning and�land°dev_elopment. Appllcatlon Is
hereby made to obta(n .a permit:•,to��do_�work;.,and'Installatlon as Indl�afed:.�.���1 certffy that no work��or Installation tias'
commenced prlor to I'ssuance of�a permtt'and that�.all�work wlll be pertormed�to meet standards-of all laws regulating-
constructlon, County and City codes, zoning regulatlans, and land development tegulatlons�tn the ,jurlsd(ctfon.'- I�al'so _ _
certlfy that I understand that the r�gulatlons of othe��govemment agencles may�apply�to the.lntended work, and that it(s
my responslbllity to Identfgy•what,act(ons I must�teke:M,be,In:.con�pllance:.,S.uch agencles lnclude but�are.not Ilmited to:
- Department of E�vironmental�Protectton=Cypresa:Bayhead�, V6letland Areas and Envlronmentally Sensitive
Lands,WatedWastewat�r Treatment.
- Southwest Florida W�ter Management :DisUlct-Wells;'"Cypress.r Bayheads�� Wetland Areas� Altering
V�atercourses. _ ,; �
- Army Corps of Englneers-Seawalls,`Docks, Navigatile Waterways.
- Department of.;Health,:,&. Rel�abllitative;.Servtces/Ern►ironmen#al=-Health Unit-Well.s,_Wastewater�Treatment;
S�ptto Tanks..'. ` `" ` ' . ' � _ - -
- US Envlronmental Protectlon Agency-Asbestos abatement: � •
- Federal Avlatton:Authorlty:,Runways.� • �
I understand,that the.folloviiing.restrlcHons-apply to the use of flIL••
- Use of flll Is not allowed 1n�Flood�Zone"V"unless expressly permttted..
- If the-fill�mateNaF=1s'�to�b.e used;�In �Flood Zone. "A", (t. Is understood that a dralnage plan addressing a
°compeFlsating volume" will be submltted at tlme of�perm�ting which Is prepared by a professfonal engineer ` �
Ilcensed by'#Iie State of:,Florlda.� " . � • ..- � � . , �
- !f �he flll materlal�ls to�:tie:used In Flood Zone 'A" in5 connec�ion�vi►lth�a�permltted building using stem wall
� constructfon, I certify th.at f111�:virall:be•used only.to.fill the area.withln�the�stem>wall:
- If �III materlal'�Is to-be used In anjr area, I �certlfy that .use of`suah flll wlll not adversely aifect ad)acent
propertles. If use of flll Is foundsto adversely,.�ffect ad)aEent�propertles,.the owner may be clted for vlolating
th� condl#lon's of.the bullding;permit ls§ued�under ttie..atEached._permlt applicatlon,�for:_lots:�less.than.one (1)
acre wHtcii'are elevated�by fllt; a�t.englneered dralnage plan ls requlred. . •�
If I am the AGENT EOR THE:OWNER, I�promfse In good falth to Inform the�owner of the permltting condftlons set forth.In
this affidavlt`pNor to comrriencing constructlon. �I undersfand that;a-separate petmlt may be requlred for electrlcal work, ,
plumbing,_signs, wells,.pools;:alr.condltloning,-.gas,-or other: Install�ttons no!•spec�tcapy included�in.the applicatlon. .A -
permlt Issued shall be constiued to be~a'Il`cense to�proceed wlth'tNe rwork and:not�as:autho�ity_to,vlolate;�cancel, alter, or
set aslde any provlslons of tFie.tectinlcal,codes;;nor shall Issuance•of a.permlt.prevent the Bulldlrig Ofiiclal from thereafter �
requlr(ng a correction af ercors-in,plans;conshuctlon.or vlolattons of any codes. Every�permlt��Issued=sNall 6ecome�invalld
unless the work au{horized.by such permlt:�ls-commenced�wlthln sf�c;m.onths of�permlt lssuance, or If work authorized by
' the pernn(t is suspended�or.aba�doned:for a=period;.of�slx(8)�montfia:aRer the.tlme the�work��ls commenced. An extenslon
may be requested� tn wcitlfng,,from the.�Bullding,Offlclal for a perlod,.not�.to exceed�nlnety(90)�=day§ and=w111 demonstrate
justtfiable cause for.�the extenslor�. If work ceases:for nlnety.(90)cons.ecutive day.s;..the job�ts.constdered aba�doned.
WARNING TO �WNER: YOUR_FAILWRE•�TO.._REC.ORQ.A�:.NOTICE:OF;•COMMEMCEMEMT�.MAY�RESULT IN YOUR -
PAYING TWICE:FOR=IMPROVEMEM7'S�TO;XOUR:-.PROPERTY. :IF°YO.U{IP1'�EWD�T�'OBTAIN��FINAI�EfNG;�C:ONSULT
- �*�tTl��Y�UR L�y�FR��R�4��'4'TC9�NEY��FOR�=�2��R��I�ISs;�YOUR'�2'�'I�fi'�F=CS�{6':�l�����l�N�'=' =— --- - -.
FLORIDA JURA'��(F.S:1.17.03) �� • ' � " - ' �'
OWNER OR AOENT CONTRACTOR �
Subscrlbed and swrom to(or afflrtned)b�tore me Ihls Subsaibed'and'swom- (ot a �befote m 'ftif��
by •by�����f/nct.��.
lMio Islare personally known to.me or hesR�ave.produced VYho.le/are p.ersonallyknown•to me or has/have�produced. �
' as Idantlflcatlon. as Identlflcatlon.
Notery Publlc _ � Notary Publlc
Commfsslon No:"` Comr�faslon No.
Name oI Notary typed,printed or stamped Name of Notery typed,printed or atamped
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��'From:Amy�Dicei � �`Fax:(863)225-1416 To: Fax: +1 (813)7800021 Page 1 `of 1.�091D6l2018`1:1�5�PNI����� ��� � ��� � ��� �
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� 2930 Barney's Pumps Place
lakeland,FL 33812
(863�398•0495
pI To whom it may conc�rn,
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t,lames Ryan Lewman, authorize Chad Pettinato to sign permi#s on my behalf.
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s Ryan Lewman
License nurnber EC130Q6931
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I Sub crib.�d and a�rmed before me in the cot�nty of��l�,State of Fiorida, on this L.-���� �}ay
of �� 20;�.
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{Natary Signat
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, (Commission Expiration)
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;��.�:Cor�missfon#FF167380
fixpFres:OG1'b9,2018
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