HomeMy WebLinkAbout16-17864 CITY OF ZEPHYRHILLS �
5335-8th Street
,� -� ;, (813)780-0020 17 �4 \
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17864 Issued: 10/27/2016 Address: 38435 CR 54
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class �af Work: ELECTRICAL MISC Township: Range:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Fe�t: Est. Value: Book: Page:
Cost: I 2,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amoun;t Paid: 45.00 Date Paid: 10/27/2016 Parcel Number: 02-26-21-0010-06000-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: PLAZA 54 LLC
Addr: 39111 PATTI RD Address: PO BOX 89395
�EPHYRHILLS,FL. 33540 TAMPA FL 33689-0406
Phone: (813)782-3319 Lic: Phone: 813-244-1177
Wo k Desc: REPLACE 150 AMP SERVICE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPE S REQUI D
ROUGH ELFCTRIC .
CONSTRUO�T'ION POLE
PRE-METEI� � ; �
FINAL I
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local go ernment 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: n addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be f und 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.
"Warni g 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."
Complete lans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
i GC��""-c�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED �
PROTECT CARD FROM WEATHER !
813-7ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021
' J ° Building Department
Date Receive� Phon�,Contact for Pe►mittin
i ��/ /
Owner's Na le � � �" ( �h�� Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple T3tleholder Name Owoer Phone Nlumber
Fee Simple Titleholder Address ^
JOB ADDRE$S ��%3 p�� � LOT# �
SUBDIVISIO PARCELID# C�a'2((J'� ��0�1�C�lpOpp ��`jp 2C7
(OBTAINED FROM PROPERTX TAX NOTICE)
, WORK PROPOSED , .B • NEW CONSTR ADD/ALT Q SIGN � Q DEMOLISH
INSTALL - REPAIR
PROPOSED�USE -Q SFR COMM Q OTHER
TYPE OF CO STitUCTION - Q BLOCK " FRAME � � STEEL Q
DESCRIPTIa OF WORK 'lY1 J JU � �2i�U1 C`e
BUILDING SI�E � SQ FOOTAGE� _ HEIGHT
QBUILDING $ VALUATIONpOF'TOTAL CONSl'RUCTION
ELECTRICAL $ � AMP SERVICE �SL� PROGRESS ENERGY W.R.E.C.
��o� � , o
OPLUMBIIVG $ '
MECHANICAL $ VALUATION OF'MECHANICAL INSTALLATI N ����
CI O -�T �
QGAS Q ROOFING .Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER Cp(ypqNy=
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Llcense#
ELECTRICIAN_ �,�,� ' COMPANY � P 0-'� �'
SIGNATURE j ����/�"1 ' REGISTERED Y/ N FEE CURRE�'
Y/•
Address License#_ �l� UU� �-
PLUMBEPt ' COAAPAPIY
� SIGNATURE ' REGISTERED Y./,.N FEECURRE� ' Y•/N.
Addre�s License# .
MECHANIC ' COfNPANY
SIGNATIDRE � � � REGISTERED Y,./ N FEECURRE� Y,/•N
Address' � � � � License#
OTWER � `;COMPANY_ � �
SIGNATURE' �• ' ' ' ' REGISTERED Y/ N... FEE CURRE� Y/N �
Addre�s ' - � ' ' � ' � License# �
RE31D@WTIAL:: . Attach'(2),Ploti Pla�s;;.(2)sefs of�Bullding'Plans;`(1)sef of'Energy�Fortns;�R-O-W Permit far new construction,
Min(mum:ten,_(d0):working,days,after submiftal`date::Requlred onsite;:Consfiucdon-Rlans;Stortnwater Plans w/SIIt Fence installed,
Sanitary FaciliNes-&;1,dumpster,�Slte•Work Pertnit for subdidislons/!arge projects
CORAAAERCIRI. Attach(3J complete'sefs of Buildfng"Plan's plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new coqstruction.
Mfnimum ten(10)vuoricing days'after submittal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliUes 8 1 dumpster.Site Work Pertnit for all new;proje'cfs:All commerctal requlrements.must meet compliance •
SIGN PEI2RAIT Attacfi"(2)sets ofEngineer.ed-Plans.. � - �
""'PROPERTY SURVEY required for all NEW construction.
Directlons: � '
Fill out appiicadon wmpletely.
Owner&Conhactor slgn back of applfcatlon,notarized
If ovar�2 00,a Notice of Commencement is requlr�d. (AIC upgrades over�T500j
" Agent(for the contractor)or Powe�of Attartiey'(for the owner)would be someone with notarized letter from owner authorizing same
DVER THE C9UNTER PERMITTING - �(Front of ApplicaUon Only)- :
Reroofs If shingles Sewers Servjce Upgrades i4'/C�4' ��Fences(PIoUSurvey/Footage)
Drivewa i-Not over Counter if an public roadways..needs ROW� �, ;� , ,
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NOTICE OF DEED RESTRICTIONS: The undersigned,under�tands��,th�#:this:,p�armif.may.be,_sub)ect.to;_°deed"r�strictions°�::.,��.:�_.;�,
which may�tie�more��r.es�rictive�th�Fl�County�regr�latfons.``The.undecslgried}�assumes��esp�nsitilll'ty�'forVcorripllance"'.with`�any � '
applicable:deed restrictlons. �.:. ::.:� '- �. �. � _ :. .. __ . _ .,� ;� ;>:- � - .. �
UNLICENSED CONTRACTORS AND CON�RACTOR�RE�PONSIBILITIES:�-�If-ttie•owner°has•"hired'�a �cdntractvr or I
contractors to undertake work,_they may;b.e;reiqulred_to,:be;.ltcensed ln-accordance.with_,state.and,local.regulatlons.:=1f=the•��•' � �"�
contractor-�Is=nofltcensed>as�requlred'tiy law, botti��the owner and=�cont�acto���may be�clted-for�a�misdemeanorvtolatlon
under state law. If the owner or Intended;;contractot;;are,cuncertain as to:what Iicensing.requirements.;mayy:appty�•:�for-tfie`= �:"�. �=�.:'
. ., �..:,,,..., . .� .
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iMended work, they are�advised to,coritact;the;Pasco County,Bulldtng;Inspection;Dlvlsion�:-Licensing Section at 727-�47-
,__ .
8008. Furthermore, If the owner Fias��liGed-�a contracto� or contractors. h� is advls�d to have hhe contractoKs).sign_ . , _ �
. ,.��....,..,� -,
- portions of the "contractor Block" of.this,application.for.which.they will..be,responsible::-1f:you,=as:the ownerisign`as`the` ' � �
contractor,�that�rnay�be an iridication thaE`he'Is�not properiy`licensed-and��is"nof entiNed`to perriiltting privileges In Pasco __ ,
County. - : : ,�:���r , _
TRANSPORTATION�IMPACTIUTILITIES�IIYIPAC7�ANb�RESOURCE RECOVERY�FEES:��The�undersi�ned unde�stands
thatTransportation Impact Fees�and.Reco.urse Recove.ry_.Fees may��apply:�to�tf�e,constcuction.of new.,buildings��change�of�''���`'��� •'`"
use in exisHng bulldings,�or�texpanslan�of�ezisti�i�y�buildings, a§specifled.in Pasco County Ordinance number 89-07 and �
90-07, as amended.,f.,�he undersigned also;understands� thait:�such fees;�as�mayr�e�.due;;:wi0;�be ideriffied at the���time`of=�� •� � �
permitting. It Is furtfie�unde�stood that Tra�sportatlon Impaot Fees an�-Resource'.Recovsry�Fees..mu'st be paid prior to
receiving-a.°certiflcate:of occupancy"or flnal�powe.r.;=release.-�:If�the.proj�ck,does�,not,Involve��a�:certificate of occupancy�o����'=�� •�''�r
flnal power.release;the�,fees mu�t be paid.p�lor to,permit issuance. Ft��thermore;�if:Pasco,.C;ountq�'Water/Sewecrimpact ���:��:�t�
fees are due,.they:must,be;pald..prlor#o permiE�issuance�ln.accordance witt�=applicatife Pasco��County�ordinances. •
CONSTRUCTION�LIEN�LAViI'(Cliapter T13� Florlda Statutes�as amended): if valuatlon of work is$2,500.00;ormore�=I .,. :��;_ '
certify that I, the. applicant,�-have-be.en-.provided� with--a��copy�of.:hhe `Florida��Constructton� Llen`;Law—Homeowner's
Protection Gutde" prepared by.tFie Floelda DepartmenC of Agric.uiture and Consumer affairs. If the applicant is someone ,. : � ,r; '�
other than the"owner", I certify-th�t,.l have.obtained"a�eopy;of:the:above.rfescribed docu�entand�promise;:iri,good:faith to ,
deliver It to the.."•.ownec"=p�ior�.to�commencement:''� � ' ` � � " � � - ' - - . , �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.ce'rti[y�;that-all�#h���inf.ormation:in•this appllcation is accurat�and that all work
will'be done in compliance with all appticable�laws reg�ilating constructlon� zoning and�land�deyeloPment. Applicatfon_is
hereby made to obtain .a pecmit;:to..do_;woi'k;and lnstallatlon as indiCafed:.�-•�I� certffy that no work�:or Installatton tias'
commenced prior to Is"suance of'.a permtt�and that.all work will be perFormed�to meet standards=of all laws regulaking-
construction, County and City codes, zoning regulatians, and land development cegulations�tn the.jurtsdtction.- (�also. .
certify that I u�derstand that the regulations of other government agencles may�apply,:.to_the.intended.work, and that it is
my responslbility to identify.what.act(ons I must-take:to,be�in:.compllanca. _Su�h:agen,cles-include but�are,not Iimited to:
- Department of E�lvironmental�Protecttori=Cypress"Bayhead�,�Weaand Areas and Environmentaliy Sensitive `
Lands,Water/Wastewater Treatment. � J
- Southwest Florida Water Management :Dlsirict-Wells, Cypress.� Bay_heads;- Wetland' Areas� Altering
Watercourses. - � � ' � �
- Army Corps of Engineers-Seawalls,`Docks�Navigable Waterways.
- Department of_Health;:& .Rehabllitative-,:ServtceslEnvir.onmenfal..-Health Unit:Welis; Wastewater�Treatment, t
Se�tic Tanks._. _^ " .." -� � � . , � , .- _:.
- US Environmental Protection Agency-Asbestos abatement...
- Federai AvlatLon-Authocity.,Runways.� � �
I understand,that the..following.restrictions apply'to the use of flll:•
- Use of flll is not allowed in Flood,=Zone"V"unless expressly permitted.
- if the.�flll��materlaf=ts to b.e used.�'In �Flood Zone. "A"� It. Is und�rstood that a drainage pian addres$tng a
°compensating volume"wlll be submitted at time of�permittJng which is prepared by a professional engineer "
Iicensed by=the�tate of'Fiorida: �
- !f ihe flll�material�is to be used In Flood Zone 'A" In�connection�with:a��permitted building using stem wall
� conatruction, I certify thatflll:wall�b.e-used only.to.fill the area within�the�stem�wall. •
- � If flll rnate�lal is to be used in any area, I �certlfy t#�at .use. of such flll wlll not adve�sely affect adjacent
properties. If use of fll) Is found�to adversely,�ffect adJacent pr�perties,.the owner may be cited for viol'ating, �
the cond�Ions_of the bi�iiding�:permit Issued�under the'attached,permit applicatlon,.�for::lots�:less�than.one (1)
acre which ere elevated°by f111�a�t engineer�ed dralnage plan Is requlred.
If I am the AGENT FOR THE OWNER;,I�promise In good falth to inform the owner of•the permitting conditlons set forth In
this aifidavit�prior to commer�cing constructlon. I understand thet a=separate permit may be requtred for elecMcal work, . .
plumbtng, signs, wells,.pvols;. air condlttoning,.g�s,�or.other install�tlons not.spec�ically included�tn.the�application. .A . ,.
permit Issued shall be construed to tie a°Hcense�to���proceed wlth tNe:wiork,and-not-as:authoNty.to:violate;�"cancel. alter, or
set aside any'provisions of the technlcal.codes;�nor shall issuance�of a.permlt.prevent the Buildirig Ofitclal from thereafter .
requiring a conection af errors in�.plans; consttuction or violations of-any codes. Every pertn(t(ssued shall-become invalid
unless the work authortzed.by such.permit:�ts-commenced•withln s.fjc,months of�permit tssuance. or If work authorized by
the permit is suspended�or,,.abandoned�for.a�;perlod of slx�)moMFis.aRer;the,tlme the�work Is commen�ed. An extenslon !
may be requested, In wrlting, from tNe.Bullding,Offlclal for a perlod:not..taexceed"nlnety(90)�days and�-wllf demonstrate
justlfiable cause for.�the extenston�. If work ceas�s:for nlnety•(90)cons.ecutive day.s�..the job;Ps considered aba�doned. � "
WARNING TO OWNEFt: YOUR.FAILIJRE,Ttl,R�EC.ORD A.:MOTIGE;:OF=-COMMEMCEMEWT.MFAY�RESWLT IN�YOUR
PAYING TWICE;.FOR IMRRO�/EMEN.TS-Tfl:YOUE���PROPER.-TY: 1�°YO.U;1�1'�EIj1D:�TQ��OBTAIN�FIN�AMEING;'C.ONSULT
IAi1Y U - - . D AM� O H�?T ��R ��,�EC6� �=� �lA ' ; E' � -. : . . - --- --- --
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FLORIbAJURA�•(F.S:1.17.03} • " _ ��
OWNER OR AOENT . � CONTRACTO �
Subsarlbed and awom M(or atflrtned)before me thls Subscrlbed a 'awom�to(ow fli edf beTore me tFilg
by �Z 7—i - �
Who Isfare personally knovm to.me or haslheve produced Who.ls/a ona own• me�o[haslhave�produced •
ae Id`entlflcaBpn. as IdentlBcadon.
Notery Publlc . Gf�JL/'�- Notary Publlc.
Commisslon No:` Co Is on.No
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Name ot Notary typed,printed ar stamped Name �ld '_�Wnil�ts�bpyl�l�M@@q�22
:;��� �o: Expires December 12,2018 �
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. ''h p��;,°°�`��` Bonded Thru Troy Fain Ineurance 800•385-7018
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