HomeMy WebLinkAbout16-17762 CITY OF ZEPHYRHILLS
• �� 5335-8th Street
(813)780-0020 1776
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17762 Issued: 9/21/2016 Address: 38823 NORTH AVE
Permit�;ype: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class ofi Work: ELECTRICAL MISC Township: Range:
Propos �d Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Fee�: Est. Value: Book: Page:
Cost: 4,300.00 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS
Amoun Paid: 60.00 Date Paid: 9/21/2016 Parcel Number: 02-26-21-0180-00000-0480
CONTRACTOR INFORMATION OWNER INFORMATION
Name: 'VIORNINGSTAR ELECTRIC LLC Name: STEIN, JIM
Addr: 506 SHAMROCK RD Address: 38823 NORTH AVE
�RANDON FL 33511 ZEPHYRHILLS, FL. 33542
Phone: (813)838-1499 Lic: Phone:
Wo k Desc: UPGRADE SERVICE
APPLICATION FEES
ELECTRICAL FEE 60.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
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CONSTRUCTION POLE
PRE-MET�R
FINAL n
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REINS ECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment 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.
"War�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
� impr vements to your properly. If you intend to obtain financing,consult with your lender or an attorney
, before recording your notice of commencement."
Compl te Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
�
CONT OR 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��-�eaoozo City of Zephyrhills Permit Application F�-si�-�eaooz�
Building DepartrneM
Date Received Phane Confad for Permitting
1 1 1 1 1 1 1 1 1 1 1 1 �
Owners Name Q i l t�GV1 J�(� Owner Phone Number p��J 3������
Owner's Address ���`� �Qf'�pl �V'� Owner Phone Num6er �3-3�a'�d rt+
Fee Simple Tltleholder Name Owner Phone Number O�3'�J�p�^�p a/
Fee Simple Titleholder Address
JOB ADDRESS �� \ , LOT# �
SUBDIVISION PARCEL ID# � U
�osraNm�one PaoaEarvTax Nonc�
WORK PROPOSED B NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED U5E Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK J-�-i v\C"Q- QL'�- G��\ �Q\��S
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $� [' AMP SERVICE��� � PuVR�E9�ENERGY Q W.R.E.C.
-' � � �1314�L4a-
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � f/ r�J � � !/
T�� � l
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY \� \O�n�'� � �`e L �
SIGNATURE REGISTERED Y! N F cuRaEn Y/N
Address � �J�. License# �� �U�
PLUMBER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CLIRRE� Y I N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new wnstruction,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facilities&'I dumpster,Site Work Pertnitforsubdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Lite Safety Page;(1)set o(Energy Fortns.R-O-W Permit for new COnStRlCtlon. ,
Minimum ten(10)working days after submittal date. Required onsite,ConsWction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities R 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgredes over 37500)
" Agent(for the crontractor)or Power of Attomey(for the owner)would be someone with notarized letter fram owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
' � ` 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 compliance 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-&47-
8009. Furthermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign
portions of the"conVactor 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.
TRANSPORTATION IMPACT/UTILITIES 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 existing 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�'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,Florida 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—Homeowne�s
Protection Guide°prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
I other than the"owner',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applipble laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify 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 development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater 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 wiil 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 permit 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 demonstrate
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 COMMENCEMENT. /
FLORIDA JURAT(F.S.117.03) //����� /��
/iY
OWNER OR AGENT CONTRACTOR O N\ v� Vt' �
Subscribed and swom to(or affirmed)before me this Su scri and swom to(or affirmed)be e me this P
by
Who is/are personally known to me or has/F�ave produced W is/ r ersonally known�o me or has/have produced
as identificaBon. ' as identification.
Notary Public Notary Public
commission No. commission � �/� _��r C�(P
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Name of Notary typed,printed or stamped Name o ot , ri a
�+�`�e� Notery Public State of Fbrida
� `F Tlffany N Achllle
� My Commlasla�FF 888402
� � Expiros 05I03/2020
4 � +
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Pertntt No. Parcel t0 No Q� a"tib�t U�15{� ��� �T13� I
NOTICE OF GOMMENCEMENT
State qt�\('�'�1�-*.� County of�QSC�'?
THE UNDERSIGNED bere4y gives notice that impruvement will be made!o certain real property,and In accordance wiSh Chapter 719,Ffedda Statutes,
the to!lowing infonnation is provided in thls Notice of Comme�cemenl
w 1. Descriptlon of Property: Parcel Identiiicallon No.0����.� C"���Q t� ��"{'�b
o sveatAddress:�.��tr�r�'�v�. G..--��Y'V"'��1.� ��"��5�(�—
� � ' t� ^�..
E � 2. Generel Dascription of Improvement �Q-{r���...R� �.,..nJ�{ r.��,��__
4 py
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�X �� 3. 6wner Mfortnaiion or Lessee intortnalion ii the Lessee contracted 1or the improvement:
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� 3'c�`�2-3 �mc�t"-F-(ti y�}t�2 ���.�+'(�-S /
� � AddresS City 3tate
a m� lntarest In Property:f�{�f./'�-lr
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L Sy� Name of Fee Simpie Titfehoider,
a r^��' " pf different from Oxmer listed above)
H
�,��' Address � a City State
?tSi 4. ContraCtor. �
��m � 'Jr� arne �� 0.11.7��Ml,il.._ �
a N�. Address +� qa r� C�ty StaRe
a�Q ContrdGtors Tetephone No:��J"t.� 1 r�c'"��
5. Surery: ��CJ �\A.�h�I�'L'. ���ZC-����1.1A�-1
}7G `��jG-�� {Y1 i�i tt cs�',-^+z--e... �L
Address CRy Slale
Amaunt of Bond: S Telephone No,•
Y 6. Lender.
L Name
01
'+ Address CSty State
� Lenders Tetephone No.
m "� 7 Persons within tha State of Flwida dos(gnated by tha ovmer upon whom noUcas or other dacuments may bs served as provided by
�Q� Sedion 713.i3(t}(a}(7},Ftodda Statutes:
r+p
,� � Name
V X
�
�N� Address City State
Telephone Number of Designated Person:
� Y B. tn sadition ta himseit the ownet designates of,,_,_
N � lo recefve a wpy of the Lianors Notice as prodded fn Sectlon 713.13(1)(b),Florida Statutes.
��� Taleptwna Number of Pefson or Entiry Designatad by Owner.
� � 9. E ira8pn date of Notice of Commencement Ihe ex iratlon date ma not be betqre iha com etion of constructfon and final ent to the
-.�,,.a XP � P Y W PaY^�
'�'� N conlractor,but will be ane year from the date of recording unless a ditferent date is specified):
a• �
U�1� WAl2N3N�TO OWNER ANY PAYMENTS MADE BY TH8 OWNER AFTEft TNE EXPtRATtOtV OF THE NOTtCE OF COMMENCEMENT
��1� ARE C4NSIDERED IMPROPER PAYMENTS UNDER CHAPTEft 713, FART 1, SECTION i13.13, FLORidA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUS7 BE
RECORpED AND POSTED dN THE JOB SITE BEFORE 7HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITN YOUR LENDER OR AN ATCORNEY BEFORE COMMENCING WORK OR RECORalNG YOUR NOTICE QF COMMENCEMENT
Under penatry of perjury,i deGare that i have read the foregoing notice'f commencement and iFiat th8 feds stated therei are tru o ihe best
- ' of my knowledge�nd belief.
�, i
i STATE OF FLORtRA
COUNTY OF PASCO
gnature of Ovmer ar Lessee,o s o es e's Autho ed
Of(icer/DirectorlPartn\erlManager
C.�.�;,}
'�'� Signarory's TillalOttfce
' The fOregnfng InstNmenl was acknowtedged betore me Shis�'day of�=i-'^--�20�6y � ��AY�'t�;`���� .
.S�"_� as (type at authoriry,e.g.,officer,Wstee,�ttomey in tact}tor i
= (nam o arty on beheN of wh strument wes executed). �
�— Personaily Knawn OR Pmduced ldenUAcation❑ Notaty SEgnature_ �q r �
Type of Identiticatlon Producsd Name(Print) \ 1"��1 � �
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"�� .�'� Notery PubliC 3tata of Fb�ida ,
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y� � , � � e �O'Q� �1�T��� �'LOF:IDA, COUNTY OF PASCO
� fikil� I�TO EcRTIFY Tf�,47 THE FOREGOING IS A
• �► TRUE AND CQRRECT COPY OF THE DOCUM�NT
� • �n o .`, ' ON FILE OR OF PUBLIC RECORD IN TMIS 0 FI
G dwe'�n�t ' � WITNESS MY HAND AND OFFICIAL S�AL THI�S' ��
� � ,.� . �1
� �L }-' DAY OF (�2 C��(o
� PAULA S. O'NEIL, CLER &COMPTROL��R
1�8� •�
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����OF FLB�� P BY 6-" �' DEPUTY CI.�RK