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Home My WebLink About16-17956 CITY OF ZEPHYRHILLS • ` 5335-8th Street (813)780-0020 179 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit�:17956 Issued: 11/28/2016 Address: 5411 9TH ST HISTORIC Permit�'ype: ELECTRICAL MISC ZEPHYRHILLS, FL. Class o Work: ELECTRIC SERVICE REPLACEME T Township: Range: Propos�d Use: NOT APPLICABLE Lot(s): Block: $ection: Sq. Fee : Est. Value: Book: Page: Cost: 100.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amoun Paid: 40.00 Date Paid: 11/28/2016 Parcel Number: 11-26-21-0010-13500-0030 CONTRACTOR INFORMATION OWNER INFORMATION Narr�e: HOMEOWNER Name: MILLS MICHAEL &MILLS PAMELA& MI Addr: Address: 5411 9TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: 813-909-6057 Wo k Desc: REPLACE DOUBLE DISCONNECT APPLICATION FEES ELECTRIC L FEE 40.00 � INS TION REQUIRED ROUGH ELECTRIC CONSTRUiCTION POLE , j _� PRE-METER � FINAL I , f A /^ � / 'f� ! 'v � REIN�PECTION 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. NOTIC�: 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. "Wa�ning 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." Compl te 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 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�sa�o-oo2o City of Zephyrhil(s Permit Application Fax-813-780-0021 Building Depertment Date Received Phone Contact for Permitting -- Owner's tdame '`�Ct- �... � Owner Phone Number �� (.t3� .-�1 t. -�-"t` � Qv+rner's Address c.��i�� Owner Phone Number �� Fee Simple Titleholder Name � � Owner Phone Number �— � Fee Simple Tit eholder Address JOB ADDRES � 1� ��' LOT# � SUBDIVIStON �— � PARCEL ID# (OSTAIHED FROM PR4PERTY TAX NOTICE) WORK PR4P SED e NEW CONSTR 8 ADDIALT � SIGN � [,� DEfV14LlSH INSTALL REPAIR PRQPOSED U E [� SFR Q COMM 0 OTHER TYPE bF CON�TRUCTION 0 BL.00K Q FRAME C� STEEL 0 DESCRIPTION OF WORK 1.� BUILDING SiZ � � SQ FOOTAGE[� WEIGN7 �� BUIl.DlNG �6 � VALUATION OF TOTAL CQNSTRUCTiON � ELE 7RlGA� $ AMP SERVECE [� PRQGRESS ENERGY � W.R.E.C. � � � OPLU BING $ �� ' !� ��/`^'" � lt OME�HANICAL $ VALUATlON OF MECHANIGAL INSTALLATIdN OGA$ � ROOFING Q SPECIALTY [� QTHER FINISHED FLOOR ELEVATIONS FLOQD ZONE AREA DYES NQ Bt3E�DER COMPANY SIG(dATURE REG3STEftED Y I N FEE CURREi� `(J� Address —�—�—�� i License# � � ELECTRlGIA ^ COtUIPANY � 1 Y 1 t� �'�„ . (,k.3('y SIGNATURE REGlSTERED Y/ EV FEE GURREP Y I R) Address License# � � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURftEA Y/N Address License# �� MECNAN1GAi, COMPANY SIGNATURE REGISTEREp Y 1 I� FEE CURi2ER Y I IV Address License# �` � 4THER � �� COMPAEfY SIGNATURE REGISTERED Y/ N FEE CURRER Y!N Address License# C� � RESIDENTIA i Attach{2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-Q-W Permit for new constructian, Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed. Sanitary Facilities&1 dumpster,Si#e Work Permit for subdivisions/large projects COMMERCIA Attach(2}ccrmplete sets of Building Plar�s plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi#for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Sllt Fence installed, 8anitary Facilities&1 dumpster.Site Work Permit far all new projects.All commeroial requirements must meet campliance SlGPt PERMIT Attach{2}sets af Engir�eered P(ans. t """'PROPERTY SURVEY required for aN NEW construction. Qirections: Fill out aRplication completely. Owner&�Contractor sign back of application,notarized if over$2540,a Notice of Commencemenf is required. (A/C upgrades over$7500j � " Agent(fo�the contractor}or Power of Attomey(for the awner}would be someone with notarized letter from owner autFiorizing�same� ' , OVER THE GOUNTSR PERMI7TING ~ (cdpy of confract required}� ' Reroafs if shingles Sewers Service t)pgrades A(C Fences{PIaUBurveylFootage} , _ _. .. _...>..... ,_. >_. Drivewa s-Not over Counter if on public roadways..needs ROW ' r y NOTICE OF DEED RESTRICTICiNS: The undersigned unders#ands that this permit may be subject to"deed" restrictions" which may be more restrictive than Caunty regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTUR RESPQNSIBlLITIES: If the awner has hired a contractar or cantractors ta undertake work, they may be required #o be licensed in accordance with state and loca! regulations. If the confractor is not iicensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation under stafe iaw. tf fhe 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 727-847- 80Q9. Furthermore, if the owner has hi�ed a contractar or contracfors, he is advised ta have the contractor(s} sign portions of the "contractor Black° of this application for which they will be responsible. if you, as #he awner sign as the con#ractor, that may be an indicatian that he is not properly licensed and is not entitlec! to permitting privileges in Pasca County. TRANSPORTAi'ION IMPACT/UTtLITIES IMPACT AND RE50URCE RECOVERY FEES: The undersigned understands that Transpartation Impact Fees and Recourse Recovery Fees may appiy ta the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasca County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identi�ed at the time of permitting. lt is further understood that Transpartation lmpact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not invalve a cerkificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasca Caunty Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasca Caunty ordinances. CONSTRUCTION LIEN LAW{Chapter 713, FlorEda Statutes,as amended}: If valuation of work is$2,5d0.00 ar more, 1 certify that !, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeawner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someane other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deiiver it to the`bwner" prior ta cammencement. CONTRACTOR'Slt1WNER'S AFFIDAVIT: I certify that ali the information in this applica#ion is accurate and that all work wi!! be dorte in compliance with aN applicable laws regulating construction, zaning and land developrnent. Applieation is hereby made to obtain a permit to do work and installation as indicated. f certify that no work ar installation fias , commenced prior to issuance of a permit and that all work will be performed to meet standards af a!I laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that i understand that the reguiations af other government agencies may apply to the intended work, and that it is my responsibility to identify what actians I must take to be in compliance. Such agencies inciude but are not limited to: - Department of Environmental Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterNl(astewater Treatment. - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Wa#erways. - Department af Health � Rehabilitative Services/Enviranmental Health Uni#-Wells, Wastewater Treatmenf, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. ( understand that the fo�iowing restrictions apply to the use of fill: - Use of fiil is not a(lowed in F{ood Zone"V" unless expressly permitted. - If #he fifi material is to be used in Flood Zane °A", it is understood that a drainage plan addressing a °compensating volume" wiN be submitted at time of permitting which is prepared by a professiana( engineer licensed by the State of Florida. - lf the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wal! canstruction, I certify that fill will be used only to fill the area within the stem wall. - if fill material is to be used in any area, 1 certify that use of such fi(I wii( not adversely affect adjacent properties. if use af fill is found ta adverseiy affect adjacent properties, the owner may be cited for violating the conditians of the buifding permit issued under the attached permit application, for fats Eess 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 gaod faith to inform the owner af the permitting condltions set forth in this affidavi# prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, welis, pools, air conditioning, gas, or o#her installations not specifically included in the appiication. A permit issued sha(I be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, ar set aside any provisions of the technical codes, nor shalf issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in pkans, construction or violations of any codes. Every permi#issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, ae if wark 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 #he Building Official for a period nat ta exceed ninety (90) days and will demanstrate justifiabie cavse far the extensian. If vuoric ceases far ninety(90}consecutive days, the job is considered abandaned. WARNlNG TO OWNER: YOUR FAILURE TO RECORQ A NOTIGE OF GOflflMENGEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IPITEND TO OBTAlN FlNANCING, CQNSULT WITH YUUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE C1F COMMENCEMENT. ____FLf3BiDA.Jt1�2A�.(F8.11-7 3}-_ -- -- -------- _--_ __- -- --- --_ �_---- -- . OWNER OR AGENT CONTRACTOR„� r _._. Su c��dl�n bswo t {o affirme efore me this �u�bs�ed�ad s�wo to affi �fo� re,ine this y / �a y t�•� Who isJ arep��r�sqna�y kr�o�n to me or has/have produced Who,i�j re pp�rsonally kn uYn to me or has/have produced �L,r it�utt'�fSLtG�tS2..as identification. 7'L� t/�i}M�✓s �`t�.'''t�.�`'� as identificafion. C ��-- otary Public ,�'' rt.r� Natary Public ,�."..e'4., JACQUELINE B G S / C m s�; �'��j�� Commi Sio ��„ 4..f/B�4 E BOGEB :;. �o; Expires December 12,2018 =�:' ��.= Commission#FF 150 .eo• - i�lame Name of Nota ,,Af,F`'a`*�t Band�T�hruimyF�'��jn�SBwanse800-5-�70i9 �' DISCLOSIIRE STAT� FOR OWNER CITY OF ZBPIiYRHILLS BIIILDING DBPRRTN�NT _, have read and fully under�taad aad ' agr e to the provi8ioas of this instrumeat. The undersigned states aad affirms that he or she`is desirous of coastructing, reaovatiag, addiag to or reroofiag his or her osaa domicile, that he or she act�ally occupies, or will occupy by said domicile, aad same is aot for , rea , lease or sale. That he or she shall comply with the followiag coaditions: 1. That the owuer and he or she aloae shall act as the builder for all phases of coastructioa. 2.. That the owaer will complyr with all provisioas of the City of Zephyrhille ordiaaaces aad codes pertiaeat to the buildiag. 3. That ia the eveat various phasea of coastruction are Bubcontracted, he will engage oaly properly licensed subcoatractors aad will persoaally supervi�e such work. 4. h�t- ia the eveat the 8uilding Iaspector shall require correction� to be mad�, the owaer will aseume full responsibility to iasure they are made, aad upon completion will call for a reinspection before proceediag with the buildiag. 3. hat the owaer shall assume full respoasibility for the coastruction aad will ot expect supervision of his work from the City of Zephyrhills Suilding epartmeat. � 6. hat prior to �iaal iaspectioa aay additioaal fees, iacludiag reiaspectioa ees, must be paid ia full. A ti,rritten request from this office shall oastitute aa official notice to pay additional fees. 7. hat the oarner shall comply with all City, State and Federal laws ia regard to ocial security, workman's compensation, lien laws, etc. , whete applicable. 8. hat the owaer shall comply with all the safety code� iseued by the Florida adustrial Commissioa. 9. tate law requires construction to be doae by liceased contractors. You have pplied for a permit uader aa exemption to tha.t law. The exemption allows ou, as the ov�aer of your property, to act as your owa coatractor with certaia estrictioas evea though you do aot have a license. You must provide direct nsite supervisioa of the coastructioa yourself. You may 'build or improve a ne-family or two-family resideace or a farm outbuildiag. You may also build r improve a commercial buildiag, provided your costs do aot exceed $75,000. he building or reeideace must be for your owa use or occupaacy. It may not e built or substaatially improved for sale or lease. If you sell or lease a uildiag you have built or substaatially improved yourself arithia 1 year after he conetruction is complete, the lav�r will presume that you built or ubetaatially improved if for sale or lease, which is a violatiomm of this emption. Yoia may aot hire aa ualiceased persoa to act as your coatractor or , o supervise people workiag on your builc3iag. It is your respoasibility to ake sure that people employed by you have liceases required by state law aad y county or muaicipal liceasiag ordiaances. You may aot delegate the esponsibility for supervisiag work to a liceased coatractor who is aot iceased to perform the work beiag done. Any person workiag oa your building ho is not liceased must work uader your direct supervision and must be loyed by you, which means that you must deduct F.I.C.A. and withholding tax , ��nd provide workers' compensation for that employee, all a6 prescribed by law. our coastructioa muBt comply with all applicable laws, ordiaaacee, buildiag odes, and zoaiag re 1 ions. , WNER�S SI DATE 1 1 r�0� L� ' DR8SS � HONS ITNESS PERMIT # I