HomeMy WebLinkAbout16-17796 i
CITY OF ZEPHYRHILLS
5335-8th Street �
(813)780-0020 17796
. ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17796 Issued: 10/03/2016 Address: 5850 13TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Fee : Est. Value: Book: Page:
' Cost: 400.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
, Amoun�Paid: 40.00 Date Paid: 10/03/2016 Parcel Number: 11-26-21-0010-03900-0110
CONTRACTOR INFORMATION OWNER INFORMATION
Name: UAMES O MORTON ELECTRIC CO.,INC. Name: EVANS, KELLY ANNE
Addr: .O. BOX 1537 1055 GEIGER RD. Address: 5850 13TH ST
�EPHYRHILLS, FL 33539-1537 ZEPHYRHILLS FL 33542-3757
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Wo k Desc: PARTIAL CHANGE ON RISER/WEATHERHEAD TO PANEL
- APPLICATION FEES
ELECTRIC L FEE 40.00
INSPECTIO REQ I
ROUGH ELECTRIC
CONSTRUiCTION 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 I
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial irrspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC�: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may b 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
impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
' 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
�- 813-7so-oo2o City of Zephyrhilis Permit Application Fau-813-780-0021
• Building Department
Date Receive . Phone Contact for Permitting ` —
Owrner's Mam L✓ I Owner Phone Number ,
Owner's,Addr ss � G � Owner Phone Mumber
Fee Simple Ti lehoider Name Ovuner Phone Mumber
Fee Simple Ti leholder Address
JOB ADDRESS ✓ r �� � LOT# �
SUBDIVISIO PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP SED _ IVEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e' INSTALL B REPAIR
PROP.OSED- SE Q SFR Q COMM Q OTHER '
TYPE'OF CO STRUCTION Q BLOCK - � ; FRAM S,T EL / ,.
n
DESCRIPTIO "OF WORK ' 'V�' I�� I e ` - ° � `
BUILDING SI E SQ FOOTAGE�= HEIGHT .
OBU LDING $ VALUATION=OF TOTAL CONSTRUCTIO �
EL C.l'RICAL AMP SERVICE ` PROGRESS ENERGY ' W.R.E.C.
o $ ��d � o
OPL MBING $ ���
QM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION 9� ( �
QG.S Q ROOFING Q SPEGIALTY 0 OTHER v�/J
/
FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA DYES NO �
BUILDER COMPANY
SIGMATURE REGISTERED Y/ iV FEE CURRE� Y/N .
Addres ) Licens ,# , �
` 1 - � v / Vi
- ELECTRICI f� 1. � '� CORAPAMY �'
SIGNATURE . �y"�� ��� a REGISTERED N FEE CURRE� Y/N
daa�es Cicense# l� `
PL'UMBER..; COMPANY
SIGNATUR rREGISTERED- `Y-/ N. �FEE GURRE� Y/N
Addres License#� -
; � �;
MECHAWIC COMPANY
; •SIGNATUR � ` REGISTERED , Y/.N F.EE CURRE� Y/N -
Aildre's •� ' � � � ' � ' License#
b,�Tf.�4 ., , .
_ O7'HER`� L-" COMPANY
� 'SIGNATUR `''i � � ' REGISTERED Y/ N FEE CURRE� Y/N �
,,,,,;yt._ -
Addres - - - � L'icense#
�Y�RESIDENTI •.; Qttacki`(2)'.Ploti Plans;:(2):sets•of Build'ing=Plans;(1)set'of°Energy Forrris;`R,O-W Peimit fot new_construction,
a��•,,,,�� �Minimum�ten,(1Q)working;daysaftecsulimittal date. Requir"ed`onsite;�Con'structlon Plans,Stormwater Plans w/Silt Fence instailed,
- �� Sanitary;;Facilities•,&;1;tdumpster;SiCe;Wo[k-Permitforsubdivisions/large•projects° `
-..;COMIVIERC AL. Attach�(2)-complefe sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence:installed,:
Sanitary Facilities 8 1 dumpster,Site_Work Permit forvall new p�ojects.All commercial requirements must meet,compliance
��;�.SIGN'PERMT Attach��(2)sets�of,EngineerQdPlans:�'�� �� -
,. . .
`: *'""PROPERTY SURVEY required for_all NEW coristruction. „
"Directions: . _ .�-;. � �
Fill:out pplication completely.
Ovimer Gontractorsign back of application,notarized
If.over 2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent( "r"th"e•contractor)or Power'of Attomey(for�ttie owner)would be someone with notarized letter from owrner authorizing same
=.::OVER.THE: OUNTER.P..ERMIITING._ _(copy,of-conVact-required)
Reroofs if sh�gles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivew ys-Not over Counter if on public roaduvays..needs ROW
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NOTICE OF DEED.RESTRlCT10NS: The undersigned understands.that.this pecmitmay be subje�t,to,"deed;restrictions°4,_,;
which�ri�ay:be�.more r�str:ictive:than.County:regulatioris: :The:un�ersigned�a'ssurries�t�esponsibility=for�comptiance-wvith any""'
applicable deed restrictions. _ ' � ,....�._; , ,. .;,,.:��;
UI�LICENSED:CQNTRACTORS AND COIdTR�►CTOR RESPO(�SIBIL:ITIES: if�tlie-�awner �ias�#tired`°�a��contractor7ar
coritracfors #a undertake work,:they may be required to be licensed in accardance with.state and.local regulations:=�If�the-y:'
contractor is not.licensed as�.required�by law, botti"the awner�-ancJ`cont�actor rr€ay'be cited}for Ta�misclerrieanor violatton
under state iavu. if the owner or 9ntended.contractor are uncertain as to what licensing re,quirements�may,,apply-foc�<the-> "` ,.
intended�uvor.k,#hey are�advised to cantact�the Pasco Caurity Bailding'Inspeotion�Division=Licensing Section at?27'847=
8009, Fur#hermore, if the owner has hired' a ccinfractor or cont�acto�s, he is advised to;��have the. cantractoc(s)._ssgn, -,.,, ;
portions of the "cont�actar Block° of this application._,for which they.will�be responsible. ;If.-you, as�,the`'owner'sign as'-tfie ''
contractor, fhat may be an indication that he is-not property licensed aitc! is nof,en#itte�! #o perri�ifting priv�leges.�n,Pasca , ;,
County. ' . - - - . ... .,. _. . - ,. : _.: .. .
TRANSPORTATION IMRACT/UTILITIES IMPACT AND RESOURCE RECQVERY FEES: "The und"ersigned understaneis- ,;
that Transportatian Impact Fees and Recaurse Recavery Fees.may�apply'to the cons#ructian of.new buii,dings, change�of°=`� �
use in existing buildings,"or expansion of.existing��uildings, as specified in Pasca County Ordinance number 89-07 and '
9Q-47, as amended. The undersigned also understands, that such-fees, as�rnay.sbei=due, will`,be'identified�at":the°time'�of�' a' �;
permitting. lt is further understood that Transportation Impact Fees and Resource��}Recavery. Fees must be paid prior to
receiving a "c�rtificate of occupancy" or final;power relsase. !f the project�daes not irtvolve a certificate of occupansy.or:��f�
final.power release, the fees.mus# be paid p'rior fo permit issuance. Furthefmore, ifi,.Pasco County WaterlSew,,erry*Impact•.;-; ; '
fees are due, they must be paid prior ta permit issuance in accardance with applicatile Pasco County or.dinances..� J
CQNSTRUCTtON [:tEN I.AW{Ghapter 718, Ftoricta Statcates,a�amended): If valuation af vuorit is$2,5QO,OO:.or-moce,}i�.,,-
certify that I, the a,pplicant,_have been. pravided.with a copy. of the "Florida �Construction �Lien Law.-=Homeowner's
Protectic�n Guide" prepared by ttie Ffo�ida Department of Agriculture and Consumer�Affairs. If the applicant�is sorneone
ofher#han the"ovuner", f certify that 1.have obtained a copy of the abave tlescribed'document-and promise�in good.faitfi to'`
deliver it tathe"owne�'.prior-to commencement. ' �
C4NTRACTOR'SlOWN�R'S AFFIDAVIT:�1�certify:that all the infoematian in fhis apptication is accurate and thaf ati work
will be done irr compliance with all applicable laws regulating construction, zoning and land=development. Application.is
hereby made to obtain a permit.to::do work and installatian as indicated. 1 certify that na<work or.irtstaNatlon .has
commenced prior ta issuance of a permit and that all work will be pertormed ta meet standards of all laws regulating
canstruction, County and Gity codes, zoning regulatians, and land development regulations iit tthe jurisdiction: 1 also
certify that.t understand that#he regulations of other government agencies may apply ta 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 npt limited>to:
- pepartment of Environmerital Protection-Cypress Bayheads, Wettand Areas and Environmentalty Sensi#ive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District 1Nells, Cypress Baylieads, Wetland Areas, AI#ering
Watercaurses. � •
- Army Carps of Engineers-Seawa!!s, Dacks, Navigable Waterways.
- Departmenf of Healfh � Rehabilitative Services/Environmental Heai#h Unit.Wetls, Wastewater Treatment,�
Septic.Tanks.
- US Enviranmenta!Protection Agency-Asbestas abatement.
- Federal.Aviation Authority-Runways.
!understand that�the fo!lowing�estrictions apply to the use af fill;
- Use of fill is nat allowed in Flood Zone"V"unless expressiy permitted.
- If the�fill material is� to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume� wi11 be submitted at time�of permitting which is prepared by a professianai engineer -
licensed by the State of Florida.
- If the fill material is ta be used in Flood Zane "A" in connec#ion with a permifted building using sfem wall
construction, I certify that:fill will be used only to fill the area within the stem wall.
- If �l! material is to be used in-any area, 1 certify that use of such fill will not adversely affeat adjacen#
prope�ties. If use af�il is found to adversely affect adjacent properties, fhe owner may be cited for violating.
the conditions of the4building permit=issued urder�the attached permit application, for lo#s less than one (1�
acre wliieti are elevated by fill,an engineered dra�nage plan is required.
If I am the AGENT FOR THE_OWNER; I��promise in good faith to inform the awner of the permitting conditians.set forth in
this a�davit prior to commencing canst�uction. �I,urtdefstand that a separate permit may be required for electrical wark,
piumbing, signs, wells, pools, air condi#ioning, gas,. or other instai(atians nat specifically included in the application. A ,
permit issued shall be construed�to be a license to:proceed`with the wa�k and-not as authority to violate;cancel, alter, or
set aside any pravisions of�tFie technical codes, no�shall issuance of a perm�t preven#the Buitding Ufficial from thereafter
requiring a correction of errors in.plans;construction or vialations of any codes. Every permit issued shall become invalid
unless the wo�k authorizad by such permit is cammertced within six months of permit issuance, ar if wark autharized b.y
the permit is suspended or abandoned far-a period..of six(6)m'ontiis after the time the wark is'comm�nced. An extension `� "
may be requested, in wri#ing,'from the Building 0fficial for a,:period not to exceed�ninety {90} days and=will demanstrate ,
justifiable cause far the extensian. tf wark ceases far ninety(9d}consecutive days,the job is considered abandoned.
WARNtNG TO�QWNER: YO f2 FAIi.URE TQ-REGORD_A NOTtCE QE G.OMMENCENIENT MAY RE ll�T IM YOt1R -
PAYING'i'1lUICE FOR,IMPR EMENTS;TO YO,U.R:.PROPERTY..:IF YOU..�,IN7E TO.OBTAIN�FINAN � NG;`CORISULT
_ ..__ WITF!YCJUR;L:END�12''�F�-� N AT-TQ�N�II- �F �t�:R��GUR�II��YC)�R i�- -��-4E=GQl+.�. C �!"�`-.=- -- -
FLORIDA JtlRAT(RS.11�.03} .,- r
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OWNER'OR AGENT ��� � CqNTRACTOR �"" ��� f
Subscrrbed and swam ta{ at�rmed)before me thEs Subscribed and swom o(or affirmed}befare me tt►is
by by
Who is/are personally k wn to me or has/have produced '� Who Istare persona known to me or has/have produced
as iderrfiflcation. ��,� as Edentlfica�on.
Notary Public Notary Public
Commissian Na Commission No.
Name of Natary typed,printed or stamped Name of Notary fyped,printed or stamped
r,4`
Oct. 3, 2016 10:27A1� No, 2$4b P. 2
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P�enared bv and return to;
Kristi L.�er�no Havet��'itle,Lt�C
4 0'1 N Florida Ave Suite 30U�
T m��,FL 336Q3
813-�99-305�
��e Number; 390
P tce�IdentificationItiTo.2i,Z6•JI-40I,Q-0�9A�-01z.0
($p�ce Ahov�7hls Litte For Rocvrding Qata�
YY ���I�� 11���
(STATiJTORY FO�M-S5�'!`ION 689.02,F.S.)
�ti5 Indentut'e made t}�i� ZS#h day of�eptember, 20�6 between Strategic Prop�erty �nvestment Speaiatist�, LLC a
F arid� Limited Liabiiity Company whnse� posfi o�c� address is ipAO� Cross Creek �Ir�d, Tampa, �"�.33�47 of th�
�4tlrity O�I�iIISbUCOS��ISt SLflT�4�'�'Itil'�f��,$t'�ntcrr*,8nd t��1Ty A.nne Evans,a m�r�i�d r�vcsman wh�se p�st�ffiae�ddress is
10I607 Byan Road,Tampa,F'I,336y4 of the Cauttty of Iiillsboroug6,State of�+lorida,grantee*,
I
Wxtnesseth that said grant�r, for and in cnnsidera�tion af the �um oFT�1 ANT�1VrJli00 DQLLARS ($10,00)and a�er
govd and valuabla considerakiqns to said grentor in hs�d paid by said gantee, the receigt whereof�s hereby aaknowledg�d,
h s granted, 6argained, atrd sold to i�te said�gearet�c�, and $razrtee`s heirs and assigns forever, the f�llowing described land,
s tuate,lying and being rn Pasco Coanry,Florids,t�-wit:
L,ots 11, 1Z� ]3��t�d the$�uth 1/2 of Y.ot 14�Blqck 39>CITY O�2',�pHYRHILLS{FORMERLY A
MAP U�'THE T4'VI�N C►�Z�P#�Y�tHT�.L�,�cct�rdxng to the�'tat thereof,recorded in Flat Buok i,
P'sge 54,of the Fubric Re��rds of Pasco C�unty, �'Iarida.Lots 11, t2, 13, and the South 1/2 nf�,ot I4,
�lo�k 34, ctTY p� ZEPNYRHILL� (FaRMERLY A MAP aF 1"T�E Tc��wnT c7P ZEPHYRHiLLS),
�according to the Plat thereof, recorded in plat Book I, Pag� 54, of t�t� Public R�cords of Pasco �ounty>
Fiorida.
Ffiysical Address: S8S0 13th Streek.;Zephyrhills,�'L 33542
TOGE'1"�iEk with all th� tenem�r�ts, hereditamants, a�d apgurtenan�es thereto betanging pr in anW�'ise
appertaining.
� TO HAVE AND 1"0 HO�.D the same in fee simple for�var,
AND gratttor covenants wifh grantee zhat grantvr is lawfvily seized of ttie t�nd in fee simple; �at p,rantor
has gaod right and lawfui authority ta setl and caravey th�land;that gra�ntor wi11 fu11y warrant the titla to th�
l�nd and�wi11 d�f�nd the sarne against t��lawfui alaim��f all persans rvhamso�ver;and that the]at��d is f�`e�
uf all encumbr�nces except t�.xes acaruii�g subsequent to DecemUer 31,2015,
This is aot thG Gratstpr's FIorida�oztstit�tianai Ht�mestead praperty.
� R"Grantot"anQ"Grantr�"'arc uscd fo�singular or plural;as cw��xc ccquires,
n'WitneSs V�her��qf;grantor hss hereunto set grantor's hand and seal the day and year�rst above written,
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DaubleTimes
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� Oct. 3. 2016 10:27A� No, 2$46 P. 3
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Sigl�ed,sealod and dalivered�n our presenoe:
Strategic 9roperty lnveshs+ent Specialista,Li.C,a FI Limited
LiBbilry -
�.,. "�.,.�-�� B� � '
Wjq�e c: Shehxad Ali,Mae�ger!Author9md Signor
e .
(Cprpprete 9eal)
State ef Floride
County af liillsborough
3he fbr@g0idg ing4n�nlent was aeknowledged baf'Ore ma tNis 2Bth dAy of 5eptember,zoi6 bv 9hepzsd Aii ef sua�e�ic
Prope,•ty Invcistment 5pecielists, LLC, on behslf of the eorporation. Fio/shc j�is petsonatiy known to me or(X]has
produced a driver'a license as idnnGfiG�tiOo. -
/
jNo�ary Seat) Notary Public
Printed Name,
My Cammissio+'r Expires:
�?� MY��tttte
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