HomeMy WebLinkAbout16-17800 � - CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 17800
ELECTRICAL PERMIT
I PERMIT INFORMATION LOCATION INFORMATION
Permit'#:17800 Issued: 10/03/2016 Address: 5035 MERLIN CT
Permit�Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class c�f Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: I 1,200.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 10/03/2016 Parcel Number: 10-26-21-0010-12600-0030
CONTRACTOR INFORMATION � OWNER INFORMATION
Name: JIM'S ELECTRICAL SERVICES INC Name: LAKEVIEW OF ZEPHYRH/JAMES MOSS
Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST
TAMPA FL 33647 TEMPLE TERRACE FL 336�17-3004
Phone: (813)810-4079 Lic: Phone:
Wo�k Desc: HOOK UP POWER TO MH/EXISTING HOME
APPLICATION FEES
ELECTRICAL FEE 45.00
� INSPECTIONS REQUI D
ROUGH EL�CTRIC
CONSTRUCTION POLE .�� ,
PRE-METE�2
FINAL I
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� C
REINSP�ECTION FEES:(c)With respect to Reinspection fees will co ly with Florida Statute 553.80 (2)(c)the
local gqvernment 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 ound 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.
"Warn ng to owner: Your failure to record a notice of commencement may result in your paying twice for
impro�ements 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
J� e��.��o-oo?o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelve�d � - Phone•Contact for Permlttin S i 3 g�� _C-�0 7�
Owner'a Narrie �� G� � � ��� Owner Phone Number
I Owner's Address �0� � Owner Phone Number
Fee Simple Tltleholder Name ' Owner Phone Number
,i • • .
Fee Simple tleholder Address °
` . \
JOB ADDRESS ,���� �S 1 � C J^ LOT# �
SUBDIVISION ������ 'Meb�1s. PARCEL ID# �0�2�' ��–'DD�� ^ �p — O��
, (OBTAINED FROM PROPERTK TAX NOTICE)
WORK PROPOSED � NEW.CONSTR' ADD/ALT Q SIGN �� Q DEMOLISH
- ,B, INSTALL B ; � REPAIR :�
PROPOSED.�SE � Q SFR Q 'COMM Q OTHER �
TYPE OF CO STRUCTION - Q'' '' BLOCK " Q FRAME �.� STEEC Q
DESCRIPTIO OF WORK ��`�� � � ��� \o �A N� v�� ����
BUILDING SI � SQ�FOOTAGE�� _ ,.HEIGHT�t. _
QBU LDING $ VALUATION'OF TOTAL'�CONSTRUCTION` �
/ ELECTRICAL $ I c�"� AMP SERVICE a o PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANIGAL $ VALUATIQN OF:MECHANICAL INSTALLATIOfV �` 6 �" '�
QGAS Q ROOFING Q SPECIALTY � OTHER� �OV '�
FINISHED F OOR ELEVATIONS FLOOD ZONE AREA QYES NO �p,
_ - . �� C� ,�
BUILDER COMPi4NY'-
SIGNATURE ReGis7'E�o Y/ N FEE CURREI� Y/N .
Addre� � License#'
ELECTRICI�, � , `��. � �� COMPANY J�'~, �S ��'�c r�`'�/ �'�d"'� ''`'e
SIGNATURE „ REGISTERED Y/ N FEE'CURRE� Y/N
Addres ���v�a-���`s G�'`�y'Ck jQ t' "(�`��. ,�,L 3��1�7 , �: . ucense#. FC 13 0 05'�f q�,
PLUMBER '� COMPANY . � �, �.•
SIGNATURE` � ' , �REGIS.TERED Y./-N I,FEE CURREK ' '" Y•/N
Address License.# �
MECHANIC' ' . � ., COM,PANY �
SIGNATURE � � � � � ` REGISTERED �. Y./ N FEE CURRE� YJ�N� .
' . .. . .
Addres. �`• � ' � . � °- License#�
OTHE _ ,. . _
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�,COMPANY .:
SIGNATURE• ��. � - •� ` � " � ` REGISTERED ' Y/ N.... FEE CURRE�• • Y/N
Addre . � . ,� F- __ . ; . , ;y. = Ucense# � -
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RESIDENTI. '., �Attacfi'(2),PI_otiPlans;.(�2)sets.of:Bullding�Plans;(1)'setof�EnergyFortn"s;R=0-W Perinitfornewconstruction,
� ,.Minlmum:tenr(:1.0)Wworking;d"ays;after submlftal'date.�•R'equlred onslte,_Construcdon=Plans;Stormwater'Plans•w/Silt Fence lnstalled,
�� �-, Sanit�ry Facllldes;&r,l;dumpster_Slte°Wor1c;Permit for subdivislons/large,proJects. <�_.-- ' � � �
COMMEI2CIl01. Attach(3)complete sets�of Bulldfng`Plans plus a�Llfe Safefy Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minlmum ten(10)working days after submlttal date. Requlred onslte,ConstrucUon Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary FacIllUes&1 dumpster.Site Work Permlt for all new projects.All commercfal requlrements.must meet compllance ' �
SIGN PERMI i Attacfi`(2)sets�of�Englneered'Plaris:; � �,�= . v: � . ' . .
""PROPERTY SURVEY required for_aII.NEW constructlon.
Dlrectlons: _ - �5 . -
Ffll out a�plication completely. .
Owner&Contractar slgn back of appllcaUon,notarized ,
If over a2500,a Notice of Commencement ls required.� (AIC.upgrades over 3T500) ,
.. � ,..t,..a s-:-,.
Agent(for the contractor)`or Poinrer'of'Attomey(for tfie owner)would�be someone wlth notarized letter from owner authorizing same
�VER•THE COUNTER P..ERMITTING: w- �(F[ont of Application Only)-
Reroofs If shingles Sewers „Servlce Upgrades A/C '�� Fences'(Plot/Survey/Footage)
,-- ._. �w: , - - ` � . - _ _
,:.' .,,I' , �
Drlvewa -Not over Counter if an publlc roadway`s.:needs`.ROW ��1; ,
.;,.
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NOTiCE OF DEED RESTRICTIOPfS: The undersigned;under�tands��,th�t:thi�:.p�rmit�;may,.be,subJect to."deed",restrictions :.._.'..�. ...:_�.
which may�b�e;tnore`�°rest�ictiveith�n County��regulatlons:=The unde�)gned°as�umes=�responsitillity'fo"r"coiinpliance'with ariy � "�� '`�
' aPPlicable deed restrictions. �. -. ., ��:, -_ _ -: � � .. . . _ . �. _.�. .. ., .r .:�:- : , ._.
I UNLICENSED�CONTRACTORS-AND CONTRACTOR RESPONSI�ILITIE�S: �°If the��owner�has`•hired��a�`ctintrac�cr or
contractors to undertake work, they may;be,reiqulred�<_to.�be.�ltcensed-In;accordance.with'state:.and;local,regulatio_ns: -1f-the-•�; � �
contractor-Is�not Qcensed as�requlred"tiy law, botli the owner and�conUacto�iiiiay�be°�cited for�a�misilemeanor vtolation
; contractor•;ere:cuncenaln �s to what Ilcensin .re uirementsRma �:a" �I r.�fiir-tine°��.�:�:� ��'�'�°�
under state law. If the owner or intended.. . .. ,... , ,. .. . . .9, q.
. , ,._�..., ..._>.... .,- .,.... , . .. ,-....:...<._ Y PPY
.. .,..�:,..,. �,.�._.
Intended work, they are adviseii to�coritact�ffie�Pasao,County,BuIlding:Inspection,:Divlslon-.-l:lcensing Sectton at 727-84T-
8009. Furttiermore, 7f the ovimer'li�as"'hired��a conUacfo�or contractors, he ls advlsed to have �the contractor(s),.sign. ,,_; ._
portlons of the "contractor.Block" of.thls.application�for,which..they will.be•resp,onslble.-.=1f.:you;=as:#he.owner stgn"as'the"" '
contractor, that may be an indication that'he°is-nof:properiy-Iicensed"and`is not entitled�fo pemiitting�priulleges In F'asco
County. = : E v,�.,.�.�_ __,
TRANSPORTATION�IMPACTIUTILITIE$�rMPAC'1=AN��RESOURCE RECOVERY FEES:���The�undersigned unders�ands
that Transportation Impact.Fees�and.Reco.urse.Recove.ry.Fees may-apply�:ta•tf�e;;construction of new_buildings,:�change=of`r` � ���'� "
use in exi"sting bulldings; or�ezpar�si�n�of��ezistin�g:,buildings; as specifled.in Pasco County O�dinance number 89-Oi� and
90-07� as amended.�..The undersigned also;understands� thaiE:`such fees;;as��may:be�<due;;:will::be Identffied at the�ti�rie��of-� ��� �
permitting. It is furtFier understood that Tra�sportatlon Impact�Fees and-Resource:Recovery�Fees,.must be paid prior to
recelving a'certiflcate:of-occupancy" or�flnal•�power.release.• :If the.proJ�ck:does.not:involve�a��.certi�cate of occupaniby��or��=3��' '
. .
final powec-release••the;#ees mu�t'be paid,prtor to;permft-Issu�nce. F��tk�ei'more;�.ff:Pasco;County��lNater/Sewer�.lnnpact �•.,., , �
fees are due,,.they�.must.be,pald�prior#o.permit_:Issuance�:in.accordance With:�:applicabte_Pasco�-�Gouniy o'rdinances. •
CONSTRUCTION"LIEN-I.AiIV"(Cfiapt�r 713� Flor�da$tatute��as amended): If valuation of work is$2,500.00.;oc,more� I ,. - ,,.
certify that I, #he �applicant,: have-been provided with--a-copy�of.the°�_Florida� Constructton� Lten�._Law—HomeoHmer's
Protection Gutde" prepared by tFie'�Floi�lda DepartmenCof Agric.ulture and Consumer;Atfiairs. if the applicant is sotrneone .,. : .,
other than th�"owner", I certffy�.that.l have�:ob.talned`a�copy.otthe;abave..descrlbed�ifoaui�ent.;and;p.r.omise�'In.;good�f�dth to . �
deliver it to:the.`ownec":pi�ior=to:�commencement:�' � ' •' `^ - - � �. = .
CONTRACTOR'S/QWNER'S AFFIDAVIT: I.certlfy.�.th:at:ail,th��,lnf.ormetidn:in�thi�appiication is accurate and that�II work
will'be done in campliance with all.applicable`laws regulating construction� zoning and�•land deyelopment. Applicatlon is
hereby made to.obtatn .a.permit;�Co„do,-�work�and dnstsllation as indicated:�=���I, certify that no work�:or Installatio�i Has
commenced prlor to issuance of'a permit�"and that�.all work w(II be pertormed to meet.standards of all laws regulating-
constructlon, County and City codes, zoning regulations, and land development regulations�tn ttie.Jurisdiction.� 1.a1'so.
certify that I understand that the regulations of other government agencies may�apply�to the_Intended work, and thait it is
my responsibility to identify•what.actions I must•take;to bedn:.compllance..Such agencl�s�include but-ace.not limited t��: �� •
- Department of E�lvironmental=�Protectton=Cypress:`Bayhead`s�; VIJeHand Areas and Ernlronmentally Sensttive
Lands,�WatedWastewater Treatment. -� �
- Southwest' Florida Water Management �Dlstrtct VVells,' Cypress.� Bay.�eads; �Wetland' Areas, Altering
VVatercourses. _ ' � �
- Army Corps of EnglneersSeawalls, Docks� Navigetile VUaterways. .
- Department of„Health�8;.ReMabllitaflve.,,ServtceslEnvironmental�.Health•Untt Well.s� Wastewatert Treatrnent, �
Se�tic Tanks:._. �: � - � _.. ,. _ _ _ ... _ ,_
- US Environmental Protection Agency-Asbestos abatement. �
� Federal Avlatton:Authority,,wRunways.� _
1 understand.that the.following::restri'ctions apply'to the use of flll:�
- Use of flil is not allowed In,Flood:Zone"V"unless expressly permitted.
� - If the�fill mate�fal=ls to be used.:�In.:Flood Zone. "A", it. is understood that a drainage plan address(ng a
°compensating volume" will be submitted at#ime of:permitt)ng which is prepared by a professtonal englneer
Iicensed by the State of Flo�ida: - �
- If ih� flll material�ts�to :be used in Flood �one 'A" Im connec�ion�with�a�permltted building using stem waii
� construction, I certify.that�Il:wJll-b.e used only.to.fill the area within�the�stem�wall:
- If flll materlal�is to be used in any area; 1 �certify that .usa of�such flll wlll not adversely affect adJacent
' properties. If use of flll Is foundvto adversely:,�ffect adJaEent�pra�perties,,the owner may be cited for violating,
the condilions.of the building;permit Issued-under tFie;at�ached,permit apptication,:for:lots.less.than.one (1)
acre which are elevated�by f111;a�t englneer�ed dralnage plan is requlred. .
If I am the AGENT FOR THE OVYNER;.I�promtse in good faith to inform the owner of�the permitttng condftlons set fo�th in
this aflidavit�prtor to commencing construction. I understand that�a�aeparate permit may be requtred for elect�ical Evork.
plumbing,.signs, wells,.pools;, alr cond(tioning,-.gas, or otMe� install�tlons not•spec�fically included�tn.the application. .A , .
permit Issued shall be constcued to 6e�a�Iicense`to�proceed with'tFie work and�not�as:authoNty.to,violate;'cancel, altE�r, or ,
set aside any provistons of the technical.c+odes;�nor shall issuance�of a.permit.pcevent the Buildirig Offtcial from there�after
requlring a conection af ercors in-plans; constivction or vlolaUons of-any codes. Every permlt issued sfiail��become invalid
unless the work author(zed.by such permit:�s-commenced•within six.,months of�permft issuance, or if work authoriz�d by
the permit is suspended or:abandoned-for.a:period_of�six�(�)montf�s:after the tirne the�work=ls commen�ed. An extenslon
may be requested, in writ(ng,_from tHe Building,Officfal for a period-�not-to-exceed'-ninety=(90)'days and�uvill demonstrate
justifiable cause for.the extens(on� If work ceas�ss for ninety(90)cons.ecutive day.s...th,Job�is considered aba�doned. "
� WARNI(VG TO OWNER: YOUR..FAILWRE•TQ..R�EC.ORD A..NOTIGE:OF:�COMMENCEMEMT�:INAY�RESULT IN�Y�DUR
PAYING TWICE;FOR�IMPROVEMENTS�Tfl:YOUI�:PRL�PERt1F: �IF°YO.U�IN'�END:T�'�JBTAIN•�FINiRf�1E1NG;�CON�ULT
WITH YOUR LENDER:OR AN ATTORNEY�EFORG�R���11��LX�yE�-�'TSC�'OF.-'��Nl111�lEld��ER�4:------
_—FLORIDA JURA�(F:S:1:17.03) .� . _' � " � - . _ '
OWNER OR AOENT • CANTRACTOR �
Subsarlbed and swom to(or alflrmed)before me thls Subscribed and'swom�(ot aflirmed)�before me tfii�
by '
Who Islare personally known to.me or�haslhave produced VVho.te/are pe ally kn •to me:or has/have�produced •
" ae Identlflcetl4n. as tdentlflcaUon.
� - �
Notery Public . u� �� .. Notary Public�
Commisslan No:` Co sion• � .
�I � „"",,., � BOGES
Name ot Notary typed,printed ar stamped Name ot Note _�5 , _����15042
;�.,�,:o; Expires December 12,2018 ,
P� B o n d e d T l u u T�o y Fan Insurenea BW�3B5•i01A
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