HomeMy WebLinkAbout16-17721 �'
� CITY OF ZEPHYRHILLS �
' S335-8th Street i
' ,. (si3��so-oo20 �-721
�"'�' ELECTRICAL PERMIT /
PERMIT INFORMATION LOCATION INFORMATION
Permi°t#:17721 Issued: 9/09/2016 Address: 39398 ALSTON AVE
Permik Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class�of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. F�et: s Est. Value: Book: Page:
Cost: � '� Total Fees: Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: Date Paid: Parcel Number:
CONTRACTOR INFORMATION OWNER INFORMATION
Name: OWNER Name: CITY OF ZEPHYRHILLS LS 21
Addr: , Address: 5335 8TH ST
ZEPHYRHILLS FL 33542
� Phone: Lic: Phone:
Work Desc: INSTALL METER PANEL W/SERVICE US 21 METER#2636488-NO CHARGE
',� APPLICATION FEES
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� I SP I IRED
ROUGH ELECTRIC �
CONSTRl9CTION POLE , �
PRE-METER �
FINAL � �
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local g'mvernment 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.
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"War'ning to owner: Your failure to record a notice of commencement may result in your paying twice for
improerements to your property. If you intend to obtain financing,consult with your lender or an attorney
�I before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
li 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
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a��-�eo-oozo City of Zephyrhills Permit Application Fax 813-780-0021
f BuUding Department
Dateli�ae�iv�d� Phone�Contact�for•Permittin •
Owner's Naia�e - C4 �. I�S Owner Phone Number
Owner's Address �33'� p �n S� Owner Phone Number
Fee Simple Titlefiolder Name Owner Phone Number � ` '
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Fee Simple Titleholder Addresa - < - ; '
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JOB ADDRE,SS 3� 3�� �5�0`� /�v� " L-`.f`I� LOT# '
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SUBDII/ISI�N � PARCEL ID# . .
'� • � � (08TAINED F.ROM'PROPERTY TAX NOTICE)
WORK PRO�OSED_ NEw CONSTR ADD/ALT Q` SIGN� 'Q ��Q DEMOGSH �I
��-e. INSTALL REPAIR • �
PROPOSEDI U$E Q SFR' Q �COMM Q OTHER ,
TYPE OF CONSTRUCTIOPI Q`' ° BLOCK '" Q FRi4ME [� STEEL Q �
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DESCRIPTION OF WORK' �YIS��� n� �a„ �n� L�t�trc Szrv�r�, `er'lti�� ��'15��h ;
BUILDING��IZE�` ° ` . � SQ,FOOTAGE�, � . . HEIGHT ,. Me'�r 'r °2�3��$g ;
QB�ILDING $ _ �, �. '
. � , VALUATION°OF TOTAL CONSTRUCTION -
QELECTRICAL $ . AMP SERVICE [� PROGRESS ENERGY Q W.R.E.C. !
QP.�UMBING $ �{ l�fi � S�i�'du/1 %� o�, , ;
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Q M��CHANICAL $ ` VACUATION OF MECHANI.CAL INSTALLATION. } i
QGAS Q ROOFING .Q SPECIALTY Q OTHER• i
FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA QYES. NO
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BUILDER p COMPANY �
SIGN/1TURE REGISTERED Y/ N . FeE CUR�� Y/N''
Address � � Gcense# �-
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ELECTRICI i. , • � ::COMPANY ` ' '
SIGNATURE ''` REGISTERED Y/ N FEE CURRe� `Y/N
w� •I1 � . . " � ' 9
M{idres� _ ., , , License# =
PLUMBER f ,. • , - C.OMP,.ANY � ,
SIGNATURE� '� �, .REGISTERED Y./,N ` -�e cuRREn Y•/N
Address License.# :. �
MECHANIC,�� .A ` � . _ COMPANY � � _
SIGNATURE�� " ' REGI3TERED Y./ N � ,; FEE CURRE� Y,/•N I
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Address ' `.' � . , ` � --•-•-- License#
OTHER i� � � ,COMP/UfY, ; , 1 �
SIGNATURE' "'=� � ` REGISTERED Y/ N,. -FEE CURREh Y/N .
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Address ,'{�:;-4`. ,�'' _ ,.5 , , __ .Uoense# � ` "
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RESIDENTIAL:_,°-'.Atta:ch�(2)FPIot�Plans;,(2)"sets;of�Buildi`ng�Plans;(1)set'of-Energy=Forms;`RµO-W"Permitfor new c:onstruction,
,.,Minimumkten;�(+.1,,0);,woriiing;days,after.`;submiftal'dafe.�-R'equired on`site;;Co`n'strticdon=Fians;-Storrnwater'Plans w%Sflt Fence installed, ,
Sanitery Faci'litles.&1,dumpsters§Ite Work.,Pertnit;forsubdivis(ons/large:projegts;_ .- - '` ' �' - '
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COMINERCIAL Altach(3)�complete'seCs"of'Bulitling Plans plus a Life Safely Page;(1)set of Energy Forms.R-O-W Permit for new constniotion. ' --
�': Minimum ten(10)working days'after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
�� Sanitary Facilitles&1 dumpster.Site Work Permit for all new,projecfs.,All commercial requlrements.must meet compliance '
SIGN PERMIT AttacFi(2)'sefs-of Engineer,ed�Pians..,�;-�-��'� • � � ,
"'•PROPERTY SURVEY raguired_fpr all NEW_constructlon..
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Dlrectlons• !' , + �:. , - ,
FIII out tipplicaUon completely.
Owner&Contractor sign.back of applfcaUon,notadzed
If over 1�2500,a Notice of Commencem�nt i�required. (A/C upgrades over 5T500)
'• Agent(for the i:ontracto�)'or Power of Attamey'(fo�`tlie�owner)would be someone with notarized letter from owner authorizing same
OVER'THE C`OUNTER PERMITTING --� - �(Front of�ApplicatiomOnly)-� '
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drivew i ya-Not over Counter if on public roadways..need's ROW
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NOTICE OF DEED RESTRICTIONS: The u�dersigned undergtands�;th�t�ih,is;.pprmit:.may.be,subJect:to.."deed"q,resUlc,tlon��r� � ���`��`
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which may�tieamore�r:esti�Ictive�th�Fl�County��regr�latCons:�The uiiderslgn�d`=�ssumes�resp�nsitiiilty fo�compiiance�with�any �"��"��"��
applicable�deed'restrictlons. � ' „ _ _ m _ ,, t.• -� � �.- �--
UNLICENSED• CONTRACTORS AND CONTRACTOR RESPONSI�ILITI�S: �=1f�the�°owner°has��hired�°a contractvr or
contractors to undertake work, they may-be,�r�qtrired.:to�b�,itcensed,in:accordance.with state.and�local.;regulations: If=the�-•- -�'�'
contractorls--not llae'nsed as�requlred°tiy law, botti.the `owner and�conUacto��-may be�clted^for�a�misilemeanor-violatlon
under state law. If the owner or Intended>:contractorti are,;�ncertain as to what Iicenstng.requirementg y"may��appiy��for:tlie��,= •�`•���"'
intended"work,"they are'advlsed to contact ftie�Pasco�Courity�Bullding.`Inspectton4rDlvlslon�L•icensing Section at.T27-847-
8009. Furthermore� If�the owner°Fias'�hired�a�cont�actor or contractors. he�is adviaed to have the contractor(s),sign: ,,
portions of the °contr�ctor.Block" of.this...application_foc,which.they will�be,:.r.esp.o�slble::,If.you;:as,#he owner`°stgii'ag�fhe�� `'
coM�actor, that�may be an indicatfon thaf'fie�ls not:properly�ilcensed�antl`�is`not entitled to�permitting�priulleges In Pasco,_
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TRANSPORTATION..IMPACTNTILITIES-IMPAC'��ANb RESOUaCE RECOVERY°fEES:�The undersigned understands
thatTransportatfon Impact Feas and.Reco.urse Recove.ry.Fees may�•�apply.�to�tfte;constructlon of new.buildtngs,+change�ofY��`�`r��� �°�
use in existing buildings; or��expansi���of�eztstin�g»buildings, as specifled.In Pasco�County Ordinance number 89-07 and
90-07, as amended..,The undersigned also_urtderstands� that'such fees;;as,�may�be�due3:wllL:be idenftfied at the=time�of`�=��""='``
permitting. It is furtFier understood that Tra�isportatlon Impac�Fees ��d'�Resour.'ae;Reco�ery�'Fees..mu'st be paid prior to
receiving-a °cerfi�cate�of-occupancy"or��flnal-�power.release: :If�the.proJ�ct;�:does;,not trnolve=a�.cert�tcete�of occupancy°o�.�=>;<= ��_���
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flnal powec release; the;fees-.must�6e pald,,pcior to;permit Issuance. F��thermore;°if Pasco;,County�Water/$ewer:impact �, :h=-.�;
fees are due,.they�must;be=pald,pri�r to permit.issyance;ln.accordance vultFr�.appltcatile_Pasco'=County��o�tlinances. -
CONSTRUCTION'LIEtd"LAW`(Cliapt�r 713�.'Florlda$tatutes�aa amend�d): If valuaHon of work is.$2,500.00::oc:more�:-i� �:. �..;
cerlify that I, �he..;applicant,:have.:been provided �with�a-�copyr of_:.the.:"Florida�°Constructton.'Lien:Lavw—Homeowner's
Protection Gutde" prepared by�'tFie Flo�ida Deparfinent�of Agricultnre and Consumer�.Affairs. If the appl(cant Is so'meone: .. . �-,;
other than the`owner", I certifjr,;.that I have_.obtainedya�copy.of.the:aboye�.rfe.sc"rlbed;ilocu�ri�ent-andrptomise;;in;good':faith.to ._ . ,:r
deliver it to the_`owner��:.p�ioc�to�commencement:�t � `�� . "�' �� ` � � � '" .� ,- -
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certiiy,_:th�t{aII,the:informaHon.:in:thia application is accurate�nd that all work
will'be done in compliance w(th ail applicable 1aws regulating constructlon, zoning and��land`development. Appltcation,Is
hereby made to obtain..a pecmit�;Co�.do..�worl�:;,and;installation as Indtceted.�r:�t� certf�i tfiat no work==:or Installation�has'
commenced p�to� M issuance of'a permit"and that'.all work will be performed�to.meet-standards�of all laws regulating•
construction, County and City codes� zoning regulatians, and land development regulatlonsrin the :Jurlsdtctton:�� l�:ai'so�
certify that I uaderstand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responstbility to Identifjr�what.actlons I must•take,:M be,In:.compllance:,,S.uch agencies=lnclude but�are.not ilmtted.to: _�
- Department of Environmental��Protection-Cyp�es's:��ayhead�, Vfletland Areas and Environmentally Sensitive
Lands,WateNWastewater Treatment. - - " _
- Southwest Florida Water Management�`.:DIsU(ct:.Weils, �Cypress.�8ay.heads; Wetlend Areas, Altering
Watercourses. ; _ �. r _ . � .
- Army Corps of Engfneers=Seawalls,�Docks, Navigatile Waterways.
- Departrrient,of:Health�:8_.ReMabll(tafive;.Services/Envitonmen#ai�Health�Unit-Wells; Wastewater Treafinent,
Septic Tanks:. ' ,.' , , .- - -:
- US Environmental Protection Agency-Asbestos abatement:
Federal AviaUvn:Authority,Runways: , � �-
I understand that the,follow�ng restrictions apply to the use of fliL••
- Use of flll Is not allowed in:Flood�Zone"V"unless expressly permitted. .
- If tfie :flil` material=ls�to`be used:.`in::Flood Zone. "A", �tt is understood that a dratnage plan addressing a
"compensating volume"will be submitted at#ime of�.p.ermifting which is prepared by a professional engfneer ' �
Iicensed by°the��tate of'Flo�ida: �� � . •
- If the flll material��.is°to•be•used tn Flood �one "A° im`connection�tirith�a�permitted building using sfem wali„ _
construction, I certify�th.at;flll�:wJll=be used only.to flll the ar�a wlthin�th��stem=wall:
- If flll m�terial-is�to be u�ed In �any area; f�certify that use of'such�flll wlll not adversely affect adjacent
propertles. If use_of fill,is.,found to.ad.v.ersely..�ffect adJaEent'pcoperties,.the owner may be clted for violating
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the condl#ions:of.the building':permit�lssued.under tfia'attached,permit �pplicatlon; for_:lots-less:#han.one (1)
acra wfilcFi are elevated�tiy flil, a�r engineered drainag�plan is requtred. .
If I am the AGENT FOR.THE�OWNER; I;promise„in,good faith to Inform the owner of the permitting condttlons set forth In
this aifidavit`prto�to�commericing construction. 'I understand thet;a-separate perm(t may be required for elecMcaf work, , ,
plumbing,._§igns, welis,,pools;. air_conditioning,-.gas,,or..othe� install�tlons nok spec�ically Inciuded�in.the applicatton. .A
permit issued shall be construed to'be~a`Iicense'�to proceed with tNe�work.,end�not-as:authoNty�:to,violate;��cancel, alter, ar
set aside any provistons of tfie.teclinicai codes;�nor shall Issuance�of a.permlt.prevent the Bulidirig Official from thereafter
requiring a correction af ercors-in•p�ans;:conshuction.or violaUons ofany�codes� Every�p'ermft�issued stiall tiecome invalid
unless the work authorized�by such permlt:ls.commenced•with(n,sfx months of permit issuance. orif work authorized by
4he perm(t is suspended=or.abar�doned;�for a;petiod�of�six;fB)�montfis,:after;the;time the�work�s commenced. An extension
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may be requested, tn writing,.from tFie;Buliding,Official-for a pertod�not•.to ex�eed=ninetjr=(90)'days a�d will demonstrate
I justifi�ble cause for.the extension�. If work ceases.for ninety.(90)cons.ecutive�day.s...th\job�is considered aba�doned.
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WARNIfVG TO OWNER: YOUR.�AILIJRE:;TO.REC,OItD.A:.MOTIGE OF.�COMMEMCEIIAENT�:MAY°RESULT:IN YOl1R `
PAYING TWICE:FOR=IMPROVEMEN'�S;tO:Y�UR�.PROPER-TY:~:IF.YO.U�IiV-TEND�TQ�i0B7'AIN��FINA�IEING;'CONSULT
WITH YOUR LENDER�OR AN ATTORNEI��EFOR��R�ECQR�IWG�YOUR'I�fOTICfi'OF'CONI � ENr�ENT' ��'
F�.ORIDAJt/QL9�(F.-�:i4-�.A3} — _ . . :... _�. �:;., . . . . — --- .. . =-.--- - ----=-- ----
OWNER OR AGENT C�M'ItAGTOR . �
Subscxlbed and swam to(or atNrmed)before me fhls Subscribed�and'swom-to(ot aflirmed)�before me'ttii��
Who is/are parsonally known to.me or ha�lhave.produced Wtio.is/are p.ersonallyknown�to me;or has/have•produced- •
as Identlflcatlon. as identlflcaflon.
Notery Public . Nofary Public
Commisslon No:` Commiaslon�No._
Name o(Notary typed,printed or stamped Name oi Nolery typed,printed or�tamped