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HomeMy WebLinkAbout16-17801 � " CITY OF ZEPHYRHILLS - 5335-8th Street ' ' (813)780-0020 17801 � ELECTRICAL PERMIT � ' PERMIT INFORMATION � - - LOCATION�INFORMATI�N - Permit#:17801 Issued: 10/03/2016, Address: 38741 CR 54 E LT 60 82 Permit 1"ype: ELECTRICAL MISC � ZEPHYRHILLS, FL. Clas� of Work: ELECTRIC SERVICE REPLACEME T Township: Range: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 9,853.92 Total Fees: Subdivision: SLEEPY HOLLOW MHSUB DIV Amount Paid: Date Paid: Parcel Number: 02-26-21-0010-05000-0030 CONTRACTOR INFORMATION OWNER INFORMATION Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MOBILE ESTATES Addr: 10411 CONNERLY RD Address: 38615 LANSING AVE DADE CITY, FL 33525 ZEPHYRHILLS, FL 33542 Phone: (813)782-8622 Lic: Phone: 813-701-0657 Vi/ork �esc: RELOCATE SERVICE POLE LOT 60 & 82 (1 OF 9)- REPLACE BP#17435 APPLICATION FEES � ' � INSPECTIONS REQUIRED � ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL f � � � ' � I �� ` REINSPECTIOfV FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local c�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. �j 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. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your pro�oerty. If you intend to obtain financing,�onsult 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. , � � CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 WIt1NTHS WI7'HOUT APPROVED INSPECTIO CALL FOR IIVSPE�T'ION - 8 HOUR NOTICE REQUIRED PR�TECT �:ARD FROM V�/EATHER 813-790-0020 G�g �.�- q C� City of Zephyrhills Permit Application Fax-813-780-0021 .�=:. . � Building Department _ : : • Date Received • ` Phone Contact for Permitting �- — Owner's tdame C�C. � �w �1 J Owner Phone tdumber .�� "���"��VS� Owner's.Address � �, s Owner Phone Number �r� �J✓ Fee Simple Titleholder Name �� V� Owrner Phone Plumber Fee Simple TiCleholder Address `����� � . JOB ADDRESS � O C� �`` � LOT# �O `� SUBDIVISION 1,.� . PARCEL ID# �� � liI � -- �WLJ`— `�� , (OBTAINED FROM PROPERTYTAXNOTICE) WORK PROPOSED B _ NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH ' INSTALL REPAIR — PROP.OSED USE .. Q SFR Q COMM (� OTHER TYPE OF CONSTRUCTION Q BLOCK - Q FRAME Q STEEL Q � DESCRIPTIOFI OF WORK i ��� Q � C.Si ' � ' BUILDING'SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION=OF"TOTAL CONSTRUCTION f � i QELECTRICAL .$ AMP SERVICE f0 PROGRESS ENERGY Q W.R.E.C. - OPL�MBING $ � �� 1 ' OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I� ,. � L QGA� Q ROOFING Q SPECIALTY 0 OTHER ', FINISHED.FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � E BUILDER � CONiPANY SIGIdATURE REGISTERED Y/`N FEE CURRE� Y/N Address License# . , � ELECTRiC.IAN COMPANY � SIGfdATURE� � REGISTERED Y/ N FEE CURRE� Y/N r aaa�es� � Cicense# PCIJNVBER;. j COMPANY- " � SIGNATURE REGISTERED- Y/�N . FEE GURRE� Y/N Address � License�# MECHANICAL COMPANY �IGNATURE'9 � ' REGISTERED Y/ N F.EE CURRE� Y/N Add�ess�� � � ' License# , ;i�.; � . . OTHER;� �-���� � " COIIflPANY SIGNATURE_�i; � ` REGISTERED Y/.N FEE CURRE� Y/N . ) . . . Address�•.. " � " " License# .-.RESIDENI'174�.',. Attacti;(2)',Plot Plans;:(2):sets-of'Building'Plans;�(1)set'of°Energy For'rris;'R-O-W Permlt for new.construction, , �y,if�;;:;,-� ;Minimum:ten�,(:10)working;daysafter.§utimittal-date. Required'onsite;Con'struction Plans,Stormwater Plans w/�Silt Fence installed, - -- Sanita:ry,Facilities R,1�;.dumpste,r•,Site:Work�Permit'for•.subdivisionsflarge.projects_ � =,COMMERCIA,L. Attach°(2)�compleCe 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 dum,pster.Site Work Permit foc•all new p�ojects.Ali commercial requirements must meet compliance �SIGN PERMIY AtfacFi"(2j sets of�,Engineer�d Rlans: , - """"PROPERTY SURVEY required for aII.NEW construction. ;� _ .._.__. ��=Directions: � _ -. � . Fill out application completely. ' Owner 81�nVactor sign back of.application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) {. .,. :.;..;;-; " Agent(for the�cont�actbr)`or Powerof Attomey(for ttie oiivner)would be someone with notarized letter from owner authorizing same OVER THE•COUNTER:PERMITTING�_. (copy_of conVaet-required) ' , Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) �i y Driveways-Not over Counter if on public rdadways..needs ROW \\ � � � — „ ��-a-.�r�.<..-�-.������:�, v .�,:� _ - •- , • NOTICE OF.DEED RESTRICTIONS: The undersigned understands.that-this permit may be su,bject.to"deed°,restrictions"':'�,'; which.may-be:moreRrestrictiue=than County.r.egulatloris. The�_undersigned�assuriies�#respons'i�illty:for�'coiripl'iance`v�ith_a3ny---` app(icable deed restrictions. � .,� - ;�,,�>u:::� UIdLlCENSEQ CONTRACT,ORS AND C4MTRAC70R RESPONSIBI�lTIES: -If #fie ou�rcier�tias��tiiretl'°aYcontracior ar contractors ta undertake work, theymay be.requi,r.ed to be.licensed in accardance with state and.tocal.r,egulation"s::.�if:-tiie�=�4; contractor-is not.licensed as°,cequired'by law, botfi the owner-and cont�actor�•may;�be cited�for°.a��misdemeanor violation � under s#ate law. If the owner or intended.con#ractor are uncertain as to what licensing requicer'rtents=may;�apply�for:;;ttie::��` intended work, they are advised to contact'the Pasco County Building Inspection Division,-Licensing Section at ?27=847- � 8009. Furthermore, if the owrter has hired'a coritrac#or or contractor`s, �he is ativised to�have the con#rac#or(s},sign_��,, � portions of the °contractor Btocic° of this application_for which they.will..be responsib(e: :If you, as':tFie_°owne�sigrn a's�:�the " , contractor, that may be an indicatiorr that he is not properly licensed antl is not en"titletl to permitting�privileges �n,,Pasco _ County. - . . _ , _... . .. ..._ = _�. _- f 'PRANSPORTATION IMP'ACTIUTILIT'IES IMPACT AND�RESOURCE RECOVERY FEES: The undersigned understands ;; #hat Transportatian impact Fees and Recourse Recavery Fees may�:apply to t1�e construction of�new:bu�l�ings, change'of�"� " use in existing buildings, or expansion:of existing buildings, as specified in Pasco County Ordinance number 89-07 and �; 9f1-07, as ame�ded. The undersigned also understands, that such fees, as'may:be:due, wiU tie`identifred at:tl�i'e-=tiirie�of-y ^' � permitting. It is further understood that Transportation Impact Fees and Resource�'Recovery,Fees must be paid prior to ' receiving a "certificate of occupancy° ar final.ipower release. If the projecYdoes not involve a'certificate of occupancy:ar:."��" finai povtirer release, the fees-must be paid prior to permit Pssuance. FurtFiermare, if-Pasca County WaterlSewer.�:lmpact.�,�- , fees are due, they must be paid prior ta.permif issuance in accorda`nce with-applicable Pasco.County ordinances. V CONSTRUCTl+QN L:IEN LAW{Chapter 793;Ftarida Statutes,as arryended}: .If valuatian of wark is$2,5QQ.O;Q:.or�moce;�1.}`.,� certify that i, the applicant,.have been_ pravided with a copy of .the °Flarida Construction �Lien Law-=:Homeowner's Protectian Guide" prepared by the Florida Department of Agriculture and Cansumer Affairs. If the applicant�is some_one, . other than the"awrner°, I certify that 1 have obtained a capy af the above desc�i6ed'document and promise�in,gaotl`faitfi�to' , i delivec it.to the°owner"priar.to commencement. ' ' ' ' CQNTRACTOR'S(C�WN�R'S�FF�DAVIT:31.certify.that al1�#he information in this application is accura#e and that at1 work will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application Is ,- hereby made to obtain a permit to-da work and instaAation as indicated. I certify that no work or.fristallation=-has co►nmenced prior ta issuance af a permit and fhat aIi wark wiil be performed ta meet standards af all laws regulating canstruction, County and City cades, zoning regulations, and land develapmen# regulations in the jurisdiction: I also � certify that 1 unders#and that the regulations of other governmertt agencies may appty to#he intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but�re not limited to: - Department af Environmentat Prote'c#ion-Cy{uess Bayheads, Wetland Areas and Enviranmentally Sensitive ( Lands,WaterJWastewater Treatment. ' - Southwest Florida Water Management District-Wells, Cypress Baytieads, Wetland Areas, Altering Watercourses. , - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. � - Depa�#ment of Health & Rehabiiitative ServiceslEnvironrnental Health Unit Wells, Wastewater Treatment; Septic Tanks. - - US Environmental Protection Agency-Asbestas abatement. - Federal Aviatian Authority-Runways. I understand that�the following restrictians apply to the use of fill: - Use af fll is not allowed in Fbad Zone"V"unless expressly permitted. - If the fill material is� to be used in. Flood Zone "A", it is understoad that a drainage plan addressing a °compensating volume" will be submi#ted at time�af permitting which is prepared by a professianal engineer � (icensed 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 wal! construction, 1 cer#ify�that�1!wi11 be usad only ta fill the area within the stem wail. � - If fill material-is to :be used in-any area, I certify that use of such fill will not adversely affect adjacent praperties. 1€use af filt is found to adversely affect adjacent p�operties, the owner may be cited for v�ota#ing . the conditions'of the building permit�issued under�the attached per.mit application, for lots less than ane (1) acre whicti are elevated by fill,an engineered drainage plan is required. {f I am the AGENT FOR THE OWNER; i promise in good faith ta inform the owner af the permitting canditions_set forth in this affidavit prior ta commencing construction. I_understand that,a separate permit may be required for electrical.work,. plumbing, signs, we11s, paols, air canditianing, gas,.ort other`installations nat spec�cally included in the application.� A � ', permit issued shall be construed to be a license to.proceed'v�ith the work and�not as authority ta'violate, cancel, alter, ar set aside any provisions of�the technicat codes, nor shal! issuance af a perm9t preven#the Buitding Qffic9al from thereafter ` requiring a cor�ection of errors in.plans;`construction orviolations of any codes. Every�permit issued shall become invalid ' unless the work autharized by such permit is oommenced within six manths Qf permit issuance, or if work authorized by � � the petmit is suspended or abacydoned for a period of six{6)_rr�onth's after the tRme the work is�commenced. An eactensian may be requested, in wri#ing, from the Building 0fficial for a�period not to exceed•ninety (90) days and will demonstra#e justifabEe cause for#he exter�sion. If work ceases for rtinety(90}consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO.RECORD A.N07lC� OF CUMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FC1R,lMPROVEMENTS TO.YBUR,PROPERTY.::iP Yt3U�.iNTEND TO C1BTAIN FiT�ANCING;��CONSULT i WITH YOUR I:ENDER OR AN ATTORIdEY BEFOI�� ItECORD�IdG YC11113=Nla'�l�E-OF=C�DMME�NCENEERi-4:=— � - I ( �FLORiDA�URAT{F,S.11?.03)� � � � _ OWNER OR AGENT CONTRACTOR Subscritred and swom to{or af�Rned}before me thts Subscribed and swom ta(or affirmed)beEore rne this ( by by Wha is/are personally known to me or has/have produced �' Who is/are personally known to me or has/have produced as Identificatiori. �;�;. as tdentification. � Notary Public Notary Public Comm(ssian No. ~ _ Commisslon No. of Natary typed,printed or stamped Name of Noiary#yped,pr�nted or stamped 4` I CITY OF ZEPHYRHILLS -- Y�- 5335-8th Street � . (813)78Q-0020 17$02 � EI.ECTRICAI. PERMIT PERMIT INF'O.RMATION LOCATION INFORMATION Permit�:17802 Issued: 10103120'16 Address: 38741 CR 54 E LT 66 67 Permit 1'ype: ELECTRICAL MI�C ZEPHYRHILLS, FL. Ciass of Wark: ELECTR[C SERVIGE REPLAGEME T Township: Range: Propos�d Use: N�T APPLICABLE Lot(s): Btock: Section: Sq. Fee�: � Est.Value: Book: Page: Cost: Totat Fees: Subdivision: SLEEPY HOLLOW MHSUB D1V Amount Paid: Date Paid: Parcel Number: 02-26-21-0010-05000-0030 ; Gt�NTRACTCIR ENFt3RMATE{)N fJ1NNER iNF�RMATION Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MOBILE ESTATES Addr: ;10411 CUNNERLY RD Address: 38615 LRNSING AVE DADE CITY, FL 33525 ZEPHYRHILLS, FL 33542 Phone: ;(813)782-8622 Lic: Phone: Wa;rk Desc: ELECTRiC POLE RELC3CATE LT-66 &67 (2 OF 9) REPLACE BP#17436 � I APPLICATlON FEES � ; � INSPECTIt3NS REQUIRE RQUGH ELECTRIC CONSTRUCTION POLE �(� � Pt2E-METER � FINAL i REIN�PECTION PEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the Iocal government shali impase a fee of faur times the amount of the fee irnposed for the initia! inspectian or ' first reinspection,whichever is greater,far each such subsequent reinspection. NOTICE: In addition to the requirernents of this permit, there may be additiona! restricCions applicable to thls property that may be found in the public recards of this county, and there may be additiana( permits required from other governmental � entities such as water management, state agencies or federal agencies. 1 "Warning to owner: Your failure to record a notice of cammencement may resuEt in your paying twice for impr�rvements to your properly. If you intend to abtain financing, consult with your lender ar an attorney before recording your notice of cammencement." Complete Plans, Specifications and Fee Must Accompany Application. A(I work shall be per�ormed in accordance with City � Codes and Ordinances. ; CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 Mt3NTHS 1NITH4UT APPROVED INSPECTIO CALL FOR INSRECTION - 8 HOUR NOTICE REQUIRED PRUTECT CARD FRBM WEATHER s�s-7so-ooza City of Zepfiyrhiils Permit Appiication Fax-813-780-0021 4, �� � `�J Building Department . , _' _ :r,r , . i . Date Received . Phane Coatact for PermIttiog � – Owner's Namo � �Q ` ��..J' Owner Phane,Mumber , 1 r �� � � Owner's�Addross 1 `"1 � Owner Phone Number ��,_„�� �4,r�N 1 I Fee Simple Til�eholder Name � �1c��1'�-�,, � Owrner Phane Number � � Fee Simple Tifleholder Address <, q ( � � J48 ADDRESS t3 `�""1 �;� LOT# �_�_� SUBDI�tISION� 7 �t•('�� „�.� �(� , PARCEL @# '�'° "`� ��.i '" �� ��� �u���^��� (OBTAINED FROM PROPERTY TAX NOTICE) d W�RK E�ROPOSEU _ NEW COiVSTR ADDlA1.T �� 81GN [� Q DEMp�ISH I e INSTALL 8 REPAIR A PROP.OSED USE N CJ SFR Q COMM � OTFlER'� TYPE'OF CONSTRUCTION Q BLOCK - Q FRAME � $TEEL Q 3. dESCRiPTtO�"OF WORK �� . } ' ��-,. ��. 1 Bt11l:DlNG'SI�E � � SQ FOOTA�E�_� HEIGHT ��� OBUILDlNG � � VA�.UATtORt�•OFTOTAL CGYNSTRtlC'f10N QEL�CTRiCAL $ � AMP SERVICE �Q PROGRESS EEtlERGY Q W.F2.E.C. QPL�MBING $ � ` QMECHANIGAL $ VALUATION OF MECHANlCAL tNSTALLATIQ3V i � QGA� Q RQQFING Q SPEClALTY C� OTHER FINISHED.FL'OR ELEVATIONS FLOOD ZONE AREA QYES NO r SUI�DER � C01U]PAIdY SIGNATURE� REGISTERED Y/ N FEE CURRE� Y/N Addressi License# � � E�ECTRIC,IAN C01NPAt�iY , SIGNATURE, " REGISTERED Y/ N FEE CURRE� Y/N k � �,� Aildress Cicense# � , , FCUt�BER_:,� COMPAi�IY� " � � SIGNATURE'� y REGISTERED• Y/ N FEE CURRE� Y/N ' Address License# � MECfiAl�tttCA� CQMPANY SIGNATURE" � REGISTERED Y/,N F.EE CURRE� Y/.N Address� i � License# �- � ..itr; � . � OTHER=� ;-�'I. " CQMPANY `SIGNATWRE�., � � REGISTeReo Y/.N FEE CURRE� Y/'N �'_�,"` . Address,,.,. , _ ;.-„•,... ,{::', ; ; � : . � ,� License# � � Y�E2ES4DEPITIAI. ,: Attach:{2};Piot=Plans;-{2}:sets-ofBuildfitig'Plans;{1}set'ofEnergyFor'ms;"R-O-WF'emtitfarnew.canstruction, §n�._�E.,.,;:•,��-�oMinimum;�ten�(:10)wrorking�day,`s aftec�sutimittal-date. Required`onsite;'CansVucBan Plans,Stormwater Plans w/Silt Fence.installed, .,.�;, ..;,. ,� _ -� �Sanitary,Facilities,&;_1a_dumpster;Site� .W,ork�Pemtit for•subdivlsionsllarge:projects ' :..COMMERCI,4L. Attaah°{2}'com`p1e#e'"se#s of'Building Plans plus a�Life Safety Page;(3)set of Energy.Fornts:R-Q-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Canstructlan Plans,Stormwater Plans w/Silt Fence:installed, Sanitary Facilitfes&4 dumpster.Site Work Permit foT all netiv proJects.Ail commercial requirements must meet compliance �;.�5lGN�PERMIT Attacti{2)sets of Engineer�d Plans:k'� � . • . - � "*`*PROPERTY SURVEY required for_aII,NEW constructian. " Qirections:. + -.. _. . ,. Fill'.outapplication completely. Owner&Gontraator sign back of appilcation,notarized 1f over$2500,a Motice of Cammencement is required. (A/C upgrades over$7500) � '" Agent(for fhe�contractoc)`orPowerof Attomey(far�ttie owner)would be someone with notarized letter fram owner authorizing same OVERTHE.COtINTER_PERMITTING.... .{copy.af-contract-required) " " Reroofs if shingles Sewe�s Service Upgrades A/C Fences(Plat/Survey/Footage) Driveways-Not over Counter if on pubiic roadways..needs ROW � � —_ ..._ _ - - ._._. ��_..�,��w�-:��:..��.s..,��a:, ' .:.� -• . . � : IdOTICE OF DEED R�STRICTIONS: The undersigned understands that_this permit may be sub�eet to"'deed"rest�ic#ior►s"u�' . x .,._... :�. _-.-,:. ,. .� >,.��-� �- ,: �,� which may be:more..cestr.�ctive;than.Caunty regalations. .The<.umdecsigned<assumes�responsibiiity��foT=cornplianee.witti-any�"" applicable deed�restrictions. - - , „ „ .. , �;n�,�. UNl:fCENS�D GONTRACTQRS AND C0IVTRAC'COR RESPONSIBtL`ITIES: If�ttie�owner��has-Fiired a.contractar7`or contractors ta undertake work,:they may be..required to be.licensed in accardance with state and:local regulations:_=ilf<#hea�u contractor is not licensed as�required kiy law, botti"the owner'anii�corit�acfor�=rriay��6e�•cited�for�a rriisdemeanor violatio.n = under sta#e law. If the owner ar intencied.contractor are uncertain as to what liaensing requirements.:may�r,apply for1:tlie�F�`=` intended wonk,�they are advised to cantact`the Pasco County Building Inspectiori,°Division=Licensing Section at 727=847- � 8009. Fu�thermare, if #he owner has hired`a contractor or cantractars, he is advised to have the,contractar(s}. sign,,_,; portions of the "cont�actar Block" of this applicatian,for which they will..be responsible; If-you, as�„the-owne�sigrras�'tlie� contractor, that may he an indication that he'is not properiy licensed and is no# entittet! to permitting privileges"in Pasca_�,, � County. . , . _ : ,. .: , , TRANSPORTATION IMPMCT/IJTILITIES IMRACT AND,RESOIJRCE RECOVERY FEES: The"i�ndersigned understands ' that Transportation Empact Fees and Recourse Recovery Fees.,may�appty'to the constfuc#ion of.new builitings, change�'of�-�'" use in existing buildings, ar expansion of.existing puildings, as specifled in Pasco County Ordinance number 89-07 and � 90-07, as amended. The crndersigned a[so understands, that such fees, as may.�b.e�due, will"Eie�identitied st�tlie�tirne.of"'r , permitting. it is further wnderstood that Transportation Impact Fees and Resource-�Reeovery,Eees must be paid prior ta receiving a "certificate of accupancy° or finai_power release. !f the praject`does nat invoive a�ceitificate a€occupancy�or-::=� final power release; the fees,must be paid prior to permit'issuance. Furtfiermore, if�Pasco County Water/Sewer„Impact;�;-.- fees are due,.they must be paid prior to permit issuance in accordance witti�applicable P'asco County ordinances. � � CQNSTRUCTION �:tEN I.AW{�haP#er 713; Fiarida Statutes,as amended): If valuation af uvork is$2,500.00;.ot-more,.,l.;;i:.,. certify that I, the applicant, have been. provided.with a copy_ of the "Florida Construction tien..Law-=Homeowner's protection Guide" prepared by the-Florida Department af AgricuEture and Cansumer�Affairs. If the appiicant��s someone ather than the"owner", I certify that I have obtained a copy of the�abave descri6etl"docwment and promise�in good'faitli,to deliver it to the°owner"prioc to commencement. ' J �ONTRACTOR'S/t�}WNER'S AFFI�AVtT: t.certify that aH the infarmation in this applica#ion is accurate and thaf att wark will be done in compliance with all applicable laws regulating canstruction, zoning and land-development. Application.is hereby macfe #o abtain a .permit.ta. do work and installation as�indicated. 1 certify thaf no'work or instaNation.-has commenced prior to issiaance of a permit and that all wark will be performed .ta meet standards of all laws regulating construction, Gounty and Gity codes, zoning regulations, and land development regufations in the jurisdiction: 1 also certify that i understand that the regulations of other government agencies may apply to the intended work, and #hat 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, 1Net(and Areas and Environmen#aily Sensitive Lands,Water/Wastewater Treatment. - Southwest Ftorida Vt(afer Managert�ent District:Wells, CypYess Bayheads, 1Netland Areas, Attering Watercourses. - ' - Army Corps af Engineers-SeawaUs, Dacks, Navigable Waterways. - Department af Heai#h & Rehabilitative Services/Environmental .Health Unit Weils, Wastewater Treatment� 5eptic.TanRs. � - US Environmental Protectian Agency-Asbestas abatement. - Federal.Aviatian Authority-Runways. �� !understand that-the fallowing resErictians apply to the use of fill: ' - Use of fili is not allowed in filood 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 "campensating volume"will be submitted at#ime of permifting which is prepared by a professional engineer - licensed by the State of Florida. - tf the fll mater.iat is to be used in Fload Zane "A° 'sn connection with a permitted building using stem wall � construction, I certify that.fill will be used only to fill the area within the stem wall. - If �U material is to be used in=any area, I certify that use of such filt will not adverseiy affect adjacent praperties. (f use of fili 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 wh�ch are elevated by fitt,an engineered drainage plan is required. , If I am the AGENT FOR THE OWNER, I��promise in good faith ta inform the awrner af the permitting conditions set forth in this affidavit prror ta commencing'construction. i_understand that a separate permit may be required far elec#rical work, � �_. plumbing, signs, wells, paals, air conditioning, gas, or other` instattatians nat specifically included in the application. A ' permit issued shall be construed'to be a license to proceed with the wark and-not as authority to violate, cancel, alter, or set aside any pravisians of the technical codes, nor shall issuance of a permif preven#the Bui(ding Uffieia(from thereafter , requiring a correctian of errars in:plans; construction or vialations of any codes. Every-permit issued shall becom� invalid , unless the wark autharized by such permit is corr}menced within six rnonths af pe�rnit issuartce, ar if vuork authar�zed by the permit is suspended.or abandoned for a period.of six(6) months after the time the wark is'commenced. An extension may be requested, in writing,.from the Building-Officia! for a,period not to exceed•ninety (90}days and wil! dsmonstrate justifiable cause far the extensian. If work ceases far ninety{90)consecutive days,the job is considered abandoned. !l1fARNtNG TQ �WNER: YOUR FAILUR�:TO REGO.RD A NOTICE taF C4MMENCENlENT MAY RESU�T IN YOUR ' PAYING TWICE FOR IMPROVEMENTS,TO YO.UR.PROPERTY.;,IF YOU:JNTEND TO.OBTAIN FINA,NCING�`CONSULT �f4lITH YOUR l:ENDER OR AN ATfORNEY�EFQRE.REGQRDlNG YOUR�NQTICE_OF=Cd}MM��l��MEh�`:— - - � FI.ORIDA JURA_T_{F.S.1.17.03}—_--_-=—- - -- OWNER Ott AGENT CON7RAC7QR " Subscnbed and swam to{or affirmed}before me this Subscribed and swom to{or affirmed)before me this ~ by by Who islare personally knawn to me or haslhave produced Who tslare persanaliy known to me or hasJhave produced - as Identification. �.� as identificatlon. Notary Public Notary Public Commission No. Commiss3on No. Name of lVatary typed,printed o�stamped Name of Natary typed,printed ar stamped r4• � ti � CITY OF ZEPHYRHILLS ��, � 5335-8th Street �slspso-oo20 ��sa3 ELECTRICAI. PERMIT PERMIT INFORMATI4N � LOCATION INFORMATION Pecmit�:178Q3 Issued: 10/03/2016 Address: 378�1 CR 54 E LT 71 72 Permit�'ype: ELECTRiCAL MISC ZEPHYRHILLS, FL. Ciass o�Work: ELECTRICAL M1SC Township: Range: Propos�d Use: NOT APPL(CABLE Lot(s): Btock: Section: Sq. Fee�: Est. Value: Book: Page: Cost: , Tatal Fees: Subdivision: SLEEPY HO�LOW MHSUB D(V Amount�,Paid: Date Paid: Parcel Number: 02-26-21-0010-05000-0030 ? CUNTRACTOR 1NF4RMAT[ON � - {�INNER INFORMATItJN Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MHP Addr: 1 Q411 CC}NNERLY RD Address: 38741 GR 54 E DADE CITY, FL 33525 ZEPHYRHILLS, FL 33542 Phane: (813)782-8622 Lic: Phone: Wo�;k Desc: RELOCATE SERVICE POLE (LT 71 & 72} REPLACE BP#17437 {3 OF 9) I AR'PLlCATION FEES. � - = 1NSPECTIQNS REQUIRED � ROUGH ELECTRIC CONSTRUCTION POLE � PF2E—METEF2 `J� FINAL I � � � � a � � �� REINSIPECTION FEES:(c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!�overnment shaE! impose a fee of four times the amount of the fee impased for the initial inspection or 1 first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there may be additionak restrictiQns applicable to this praperty that may be found in the public records of this county, and there may be additianal permits required from other governmental � entities such as water management, state agencies or federal agencies. "Warning to awner: Your failure ta record a natice of comcnencement may result in your paying twice for improvements ta your property. If you intend to obtain financing, consult with your lender or an attorney � befare recording your notice of cammencement." Gomplete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Cades and Ordinances. CONTRAGTOR PER OFFI PERMIT EXPIRES IN 6 MCl►I�THS {NITHOUT APPR4VED INSPECTIO � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ; PRt1TECT CARD FROM WEATHER aas-zao-oo�o l�'2d� ((�� City of Zephyrhills F�ermit Application Fax-813-780-0021 � �=.�,�� 8utld�ng Department Date Recstved . Phane�Contact far�Pernntttin Owner's Namo � ''��� 1� � Owner Phoae Hnmber �L���`�` � 1� Owner's Addr�ss � � �`'�I� Owner Phone Number '�.: 1�(,�L��� Fee Simple TI4lefiolder Name r�4t„^I'�-�. � � Owner Phane Number � � ,i, � - - Fee Simple Tltleholder Address " , - JOBADDRESS � V�� Z.J�-� �l. � � L07# / � "�"� � � SUBDIVISION� �„�,,, ����,PARCELID# I.JZ�"' -'Z�"� �� � ""' �� , , , (OBT/IINED FROM PROPERTKTAX NOTICE) WORK PROPOSED - : NEw:CpNsnr ADD/A�T � SIGN Q [� DEMCtLiSH � � e. INSTALL 8� x.REPAIR �° .� PROPOSED�USE Q SFl2 C] `GOMM • 'C�� OTHER TYPE OF CdNSTRUCTION Q ` ��BLOCK ' Q FI2AME ,J STEEC Q DESGRIPTIO�OF WORK. Y v* C��..�L.' , - 8t71LDING'SI ZE� �- ' � SQ FOOTAGE�__� � ,_HEIGHT'�� � 0��»'d��'�' � , VALUATION�OF'TOTAL CQNSTRUC'TION. �� �� QEI.ECiR1CA� $ , " AMP SERVICE Q PRt}GRESS ENERGY Q W.R.E.C. OPL�MBING , $ ` � . : � ���3 QMECHRN{GAL $ '� VAl.t3ATiON QF MECHANiCA�lNS'fA��RTIG1Id. QGAS [� ROQFING Q SPECEA�TY.�� � QTHER ' FINISHED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES ,NO � � L , sv».o�� � co�n�i�nt� . . . 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N . Address � License# � �� E�EC7RlCIAN:� � ` �COMPAFtY . SIGNATURE I � REGISTEREp Y/ N FEE CURRE�^` ' Y/N I . Actdre$s " . j ,. License•#.� ` � PLUMB�R ,� C,ONIPANY ' . SIGNATURE a '' , „REGISTERED Y./..N F.EE CURREA � " Y./N. � � � Addrass; . . Licen3e,# �.`- � MECHRPtFCAl: . • � � - ,. Ct?MRANY. - , SI(3NATURE• � � � ' '� REGISTERED , Y./ N . ' FEECURRE� Y/�N Addrsss - � ' , . � ' T ' ` ' License# � � ,� . � . . y� , r OTNER .'� - = . , . . _ ' � ;GOM,PANY ,. SIGNA7URE ti :_ "~ �°' � � °' ^ - ' ' ' � '' � REGISTEREp � Y/ N..._ FEE CURRE� Y/N Addre�as ' . . . _ ;Y i Uceiise# j � � ' �__,.. . t ,.. �� . . .. . . _ . � RESlDENTIAd:;� �A#tacf�(2j�F?1tst�Plan"s;�(2}sets.of�Biiltd3iig�Plans;(0}'sef of=`E�iert�y�Fo�s;,R-O-W Peiniitfar'new canstructton, , ,, . .:,Mintmum:ten�_(;1,0)wori4tng�days�after'subriiiftal date.'•R'equlred onsite,yConstr'ucUon�Plans;=Stormwater Plans w%Silt Fence installed, �--`--Saiili.ary.F�cllltl��.&::1�durr►pster,tSite�,Wor1c,,P.,ertnit#or stibdfylstons!large;projects,. . ;.N; .__ ' � COMMERCI�t,. Attach{3)ooinplete sets of 8ulttling'Flaiis plus arlife S�afety Page;(1}set of Energy Farms.R O-W Permit for new canstsuc�tian. � � � Minimum ten(10)worktng days'after submittal date. Required anslte,Construction Plans,Stormwater Plans w/Silt Fence installed, � Sanitary Facilitles 8 7 dumpster.Slte Work Perrrrlt for al!naw�proJects:All commerclal requlrer»ents_must rtieet compilance ,....._ .,_ -.. SfGN AERMl� Attacti{2)'s`ets ofEisgineered:Plans:: - -5� � � ' . ,._ .-. , ""'PROPERTY SURVEY repuired for all_NEW constructian., Dlreations: ; : �� � • ' Fill out applicatlon completely. Owner&y Contractar sign back of appi[catian,natarized - tf over�2504,a Notica of Commsncement is required. (AtC upgrades over�9500) rt��,�:.:,;:.,.� " Agent(fpr the contraotor)'or Powe�of Attamey"(far ttie owner)would be someone wikh notarized letter fnam owner authodzing same DVERTHE�QUHTER.PERMI=TfNG� ....-.�(Fron#of,ApplicationOniy)- • ° � . � Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foatage) ` Drtvswaya-Not aver Counter if on public roaduvays..needs ROW � , --�--._ � � �� �� . a K ,�y i� N{�'�'ICE{����EID i3ES°ERIGTIQ��� The und�rslgaed under•��and�:#h�t.thi�:•.p�rmit�Km�y.bey�ub�e.�fi,t�;�deed"testrlctions". ,.._' ' ,. whlch r��y�be>mar��r��t"r:Ictive�th��Coui�ty��reg�al�tlons,`�The4urider�iigned��s�iimes�responslblltty`'�orscompllaroc�witt��'any, � appl6cable:deed e�strlctfo��. :� ,.._ : , ' t _ a _ , . �IM�.ICEN'�E�-G�t�'�'RE4C1'�►�t� �Pl� �6�NTt�1GTd�R R���ON�t�I�lTiE�:� -•if the�awner has�hieed .�_`contrac�c�r or contractors to undertake work, they rr�ay:b.eur�qulre.d�,to..be:,llaens�l ln:.accordance.with�ta#e.and�Iocal;regulatlar�s:"If�the° � • - coa�tr�ct�r ts no# licensed as�requlre���y ia�v,-both•the o�nrne� and-+confract�TB�may be�clted°for°�Tmisiieaneanror vio9$tion under state lavv. If the vwraer or 9ntended�;contr�ctor�are,;uncert�ln as to wh�t Ilcen�ing:requireanents.;�;nn�y:_apply:=:�far:�the- > � intended e�rk+4ttey a�e advisec!to co�it�ct tti��Pasa�Coum4y,��ailding'In�pei:tlon_R�vtsliin-�lcenstng�ectton at 727-847- SvO�. Fur#hermore, if the owaier itia��tili�ed � con�actoT ii� contractor�p he is advis�d ta have �the canhactor(s), sign . portla�s of the"cantraat�r Blcook"..��:thl�_appllcaBlan.fur.whl�h they w110.be.r,esponslbl�.- If:yau,:�s:#he owner'slgn"�s tFie � �ontr�ct�r, thaE ma�y be an inti6catiora�th�t'he`1s rio�.-prgperly Il��n�ei#-and`�Is no#en#1#�ed �o petiriltting privil�g�s [n P�sc� County. , . � � . �, .��.._ . . - ._� T�M�F�RT�lT1iDN-1M�at�T/�1T�1�{TIES�fMRA�'�J�Np 1tE�4�tlEtGE RE�QVE�dY-�FEES;�Ths u�tder�6gned"iariders#�nds that 1'r�nspartation tmpact Fe�s an�.Reco.tarse i2�cavecy.Fe�rs tri`ay�:apply:tatt�e,construct6on of new buildtngs,:ic�ange�of`�} =� us� in ex6sting bulldings,-or�exparts0�n�r of"eui�tin�:�builditigs, �s spealfled.in Pa�co Caunty C3rdlnance raumber �9-07 and 90-OT, �s amende�.,,The undetsigned al�o:and�rstands, th�t:�such fee"s,:��is��nay:���.due;s.will:�.be ide�rt�ied at the��tiir9e=,s�f� ,. 4- permltting. It !s��tlier understood th�t Transpartatlon Impact�Feea �nd���e�oucce:;R�codery�Fee�.m.u's# be p�ld priar to rece�vl��� gc�rfl��at�-of o�cupancy"or fina���caw+�r.r�le��e.� ;if-Ehe.pro��ct:.d��s not lnvolveaa-�cet#if�c�t� pf oc�t�pa�tcy�or=�'�` final power-relea�e;,th�e fees mu�t hi� pal�.peioc#o_permi� 0��uance. Fu�kh�rmare;If F�asco;�County"VUater/Sewer,lmpact � � fe��aPe due,they.�musl:be;pald:prl�r#o permlt-l�s,taance�ln.a�cordance viilth�appttcabl�Rasco'.Caunty�ort�lnance�. � C�N�7'Rt��Ti�N LtiEW'.t.�a�U'�(Cle�pitir T13,�ta��fi���t�tut�����m�nded): if vatuation af woric is$2,ad0.00 or rn�re, F ,, : �;� cer�ify that I, #he �ppllc�nt,. have.baen provided wlth-a copy of. the ��Florida �ons4ructlan� Llen:Lav�--Hameowner's �ro�ecti�n t�uide" prepared by-tlie Flo�ida �}�pa�tme�#�af Agrlcu[t�re and ConsumerAftatrs. If the appttcant ts sarr��o�e- .. , k other tha�the"ow��r", I certify that I h�ve,obtain�d�a'a�py;of.the:a�bove..d�s.erEbed document�and-.p,romisi�.in,gaod:,f�ith�to deliver 4t to the.,"owne�';pr.ior lo�c�rnm�riceirse�E:':' . _.. • . C�NTi�►GT�R°�r�VVIVIER'��F�B��VIT; I.cert9�y:#hat�all�th�=;6nform�tltm,.i�a thi�apptlaatlon is accur�t��nd thaQ all work will'be done in c�mptian�e �ith aII.�ppUcable�lauvs regulating con�tructl�n+ zor��n�and land�developr�e�rot. Appltcatlor� is 9�ereby �aade to obtain .a peconit:to do,work�;and in�t�llatica� a� tr�dl�afed::�...:t c�rtifyr �hat �o wisrk��:or Installa#ton h�s commenced prlor tv Issuance of'a per�nit"and that all work wlll be perFormed to me�et.stand�rds�-of all lauvs regulating- c�nst�uct6�nt Couatty a�� �ity c�des, z�nln� regul�tic�ns, ar�d land d�v�topr�ent r.e�ulatloiis�in the:jtarlsdt�fi�n.- 1 alsa ceP@Ify that I u�derstand that th� regulations of�ther ga�vernment�gencl�� rnay��pply�#o the.Int�nded work, and tha6 it is rny respo�sfbllity to Id�ntlfy.what.actlans 1 must t�ke;ta�be,ln;.co[rtplla�ce._.S,�a�h ageracles f�c0ude bu#-�r�.nat lfmlted to: - Departrre�n# of Erlvironmental�i�te�timr�-�pTB��.`��yI188d�� VV�Nand Areas and Envtror�mentaliy Sensitive L�nds, W�@�er/VN�st�wa#er TraatrnenQ. - S��t6�uvest �I�rida VV�ter lVlanag�ment� Dfstr�ct-V�e#Is;` �yYPress� Bay.heads�, �tV�#�and Areas, A1te�ing VVNater�ourses. s Artny Gorps�f Englne�rsSe�waNs,[7ocks,�lavlg�b�e VVa#e�n►ay�. - Departrre�ent of.liealth'.� Ret��biiita#id�,,.Se�vicesi�nvir�nrnent�l-He�lth Unit Vileli.s� VVastewat�r=Treatment, Se�tic Tanks:. " - ,� - US E�vieonment�l P�otectio�Agenccy-Asb�st�s ab��ement. - ��deral AvlativnAt�thorlty-f�unways. 1 und�rstand.tha@ the_�ollouving;a�estet�tlons�ipply to the use of�lOh• - Use of filt Is not allowred ir�'Fload:Zope"V"uniess�xpressly permltt�d. - If the �fill rnateri�B-�is to �be us�il..In :Flood Zone. "A"� IQ_ Is understood th�t a dr�Inag�a plan addre�str�g a "compensad6ng volum�"�rili be �ubt�#tt�d a#4ime� of;perm6t@ing�lilch is prepared by a pr�feoss6ona) engineer Ilcen�ed by�#he�tate of Florlda: - If the #ill rr�aterial�is to:b� us�d �r� Fiood �or�e "Aa° In�cann�c�lon�w�th:a� permltted bu�ldlt�g tasEng ste�m �nrall. � construction, I certify th.�t fiil�:v�Jll:be-used onfy to.fill the area wlthln the�stem wall. • !f flll m�ter�a! Is to be used tn �n� are�� F cetQlty tttat .�s� eaf s�ch �!1! w111 n�t adv�r��ly affect adjac+ent prop�rties. If use�f fili is found�to adver��aly:�f��ct��j�eer�t�pro�erties,,the er�ner may be ci#ed for v0olating, the cor�dl�ion� of the bullding:p�rmlt Issued und�r 4he.att�ched p�rmit applicatlan, for�lots-less�than.one� (1) �cr�whtc�are eEeiv�ted�6�v f#11�a�ec�gineered dr�ie�ag�pl��a Is re��tred. If 1 am the AGEPI'�"�OR TM@ AYVI�lER;_I,�pramise In go�d falth to Inf�rm th�omvner of-the permltting cor�dftlons s�t forth in this affida,vlt�prfor ta conr+mencing const�uc4�on. � a�aeTst�na t�,at�Yseparat� permlt m�y be r�qutred for e�e�t�fica# wrasrk, , . plumbi�g, �igns, v�+ells,.pools;. �ir es��ditiorring,.g�s,_or other tnstall�tions nol.spec�i�tly inciuded�in.the appiication. �A permlQ I§sued shall be canstraaed to be a� lic�nse�•�m�proceed wlth�he work an� not�as:autbor.i�r to.vlolate, cancel; alt��r, or se#asid�any�rov�s3an�of ttie���h��cal.cod�s; nor shall 6s��ra�c�of a.perm6fi.pceve�rot the�uitdirig t�ici�tf�rn there�f�er requlring�c�rrection af eRor� ln•plans; consCr'uct0an.or vlolatl�n�o�'a�ny�od�s: �v�ry��p�rmlt lssu�d sH�ll�become�invalid unless the�ork��atti�rlxed_by st�ch permlt°��-cmcra�enc�d�wlth6t��f�C.month� ��permlt lssuaa�c�, ctr �f t�rark authrariz�d by the permit fis susp�nded�or.aba��doned-for.$:period;of si�(�B)manf�s.-aft�r 4h�ti��the�watk�is comnnenc�d. An exter�sion may be requested, In wr(ting, from 4he��ullding,CJ�filcl�l f�r a ��rlod-not=to exceed�reiru�ty�(90) days and uvilf deciiionstrate ;ustl�iabl�cacase f+�th�e�ensia�: tf work ce�s��:far ninety�90}�ons.ecut�v���ys,..th��ob�is cae�sideted abacadoa�ed. �!l�lRd�ll�G TQ �1M�l��; Y�t��..��a1�.URE T0..1&E�.Cltt� �..lNQ�1C��:��':�G�M11111�i�l�I��IElitT.��Y=�ESt��:T I� Y��R P�aYON�`�ICE��'OR 9�i�0'Ii'l�li�l�IV.����:1f��16i:P���D�ER°�d: I��Y�.�1=1t�'�E1�D�TA►���7"Alhl���'l1�iN��NG;'I�.AN��9P T 1PV0'�'�i Y�1d�' t.EWC�@lt.�„�'1fS E#i�_��T�31RN�f'�'�I��m'����A�'�����%'l�011l�r:�,T���''�?�°!�Al�����.l��a���,'�r.-- - - . . - - - _^- � �«��c��,��;�;-��,�:�.�ra�}�__ _ � _ _ - - �QIf�NER OI8 AOENT COtdTl81�CTAR S�bsaibed and�wom to(or ai�rmed)b�fara me fhls Su6sctibed and'�m�4a(of af�rmsd}�befote ta�e tliis by .by . .. Who Islar�petsonally knovm to.me orhas/haba peoduced Who.ls/are per�onalty known to mg_or hasA�ave�produced � as td'en8�ce8an, � ' as Idert�flcatton. tdotery Publ►c _ Idotary Publlc Cammissta�tda:` Comn�{sslan.P�a. Name of�iotary iyped,Ptin�ed or stamped �fame oi tdota�r typed,pr{Med ar st��ped J � ����J D � f \( � Z} ,..,�-.�;�_.,�.-._,..�,;.,��_ �a-afl�nfl � �f„�, �„�'`„,,� �,^�..,�"'. ��.� �''"��:�,� F ��F ,�r �,` �. t°,��� �>��` L.i�r "a�.. - ,� � . ��11� � .�^�m�� �ity of Zephyrhills: '�:. � s Building Department _ � =" -� _ ��;,. - . -_-- - - �0. Phone: (813)-7$4-0424 �t - � Fax: (813)-780-0021 �, , , �� � ! _ ; � - t----------------------------------------------__--=_--------------- - ij TO: Duke Energy Fax results FROM: Sackie � �� FAX: 1-888-829-8744 FAX#: 813-7$0-0021 ; �� DATE: 9/29/16 #C>F PAGES: 1 of 1 � t� ' � �' Received by: Time: � � , � � � ; � MESSAGE: Hello my name is Jackie and I need to have services released work done replace � I i meter and pale replace for existing serviee. *�`*Could I please receive canfirmatian by yaur � 1 � signature and time signed above this will go in the file shawing that this was called into � ,� � ; your affice for reiease, so we may�give to contractor.�**�*��***�* Thank you?!! 7 � ' i ; The addresses are listed below. � , . ; ; 38741 cr 541ot 64 & 78 bp#17443 � i; 38741 cr 541at 63 &79 bp#17442 � � ' ` ;; 38'741 cr 541ot 96 &9'7 bp#17440 � . �� ' ; 38'741 cr 541ot 108 &149 b#17439 � '; 6616 wire rd lat 25 &26 bp#17450 � � 6&16 wire rd lot 33 &34 bp#17449 � � ' ; 6616 wire rd lot'73 &74 bp#17447 � � � � ' � ' j Thank yau � � � � � Jackie � , � � , , � � , � , � � , � , � , � , � r , � , � , � '----------------------------------------------------------------------� � , `s ' ;�'� .. . ,��� � p „^^r"".a",�-„�..��'�....°-MLL fi^-4fll0't# �. �,,.��`�; ;�:,�,,�..,�-��.,� �t�� , � ,� - ���`� `� ,�. ,�`'i' �,, ' "',�` r.���. t r �`.�/i�,�, tt, a ,�. ;�i �ity of Zephyrhills: �� �`��. . .%��' :� : -- - - '�4�.__� �"-`� Building Department y- - - __._._____- � , .- _ __ _b_ �:-- ° Phone: (813)-780-0020 �'-�:.`�_ ,� ,=.: Fax: (813}-780-0021 -� , � =—� `'����; f ����������� i ii�`�����`���.�������������������.��.�.�������������� ����. • r T4: Du.ke Energy Fax results . FROM: Jackie � � �� FA�: 1-888-829-8744 FAX#: 813-780-Q021 � �� DATE: 10/S116 #�F PAGES: 1 of 1 � �i � , � �� Received by: Time: � a� � �s , t 1 ' � MESSAGE: Hello my name is Jackie and I need to have services released work done replace � � meter and pale replace for existing service. ***Could I please receive eonfirmatian by your < < � i' ; signatare and time signed above this will go in the file shawing that this was called into � � „ , ; yoar office for release,so we may give to�contractor.���********* Thank you!!! � , � ; The addresses are listed below: � ; 38741 cr 54 lot 60 & 82 bp#17801 � ; 3$?41 cr 54 lot 66& 67 bp#17802 � � _ ; 38741 cr 54 lat 71 & 72 bp#17843 � � � � . � � f , � ; Thank you ; , . t ; 3ackie ; � � � t � � � a , � � , , , . , � , � � � � , - � � � , , � , � � - � , � , , - -�_., � � � , � � , t � � � � � � � � � � , - � � � � r `--------------------------------------------------------------------'