HomeMy WebLinkAbout17-18066 ii
� ' CITY OF ZEPHYRHILLS
5335-8th Street
� (813)780-0020 1 66
�
ELECTRICAL PERMIT
� PERMIT INFORMATION LOCATION INFORMATION
Permit#:18066 Issued: 1/11/2017 Address: 6�1�-fit�F�14� � � v � .�,,-�,ga�,T S�
Permit II y�Oe: ELECTRICAL MISC ZEPHYRHILLS, F .
Class of UVork: ELECTRIC SERVICE REPLACEME T Township: Range:
Propos�ied Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 400.00 Total Fees: 40.00 Subdivision: OAKSIDE MHP
Amount Paid: 40.00 Date Paid: 1/11/2017 Parcel Number: 02-26-21-0020-00300-0010
I CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN S TRUST & DIETERICH P
Addr: 7141 BERRY RD. Address: 2168 WATERSIDE DR
ZEPHYRHILLS, FL 33540 CLEARWATER FL 33764-6659
Phonee (813)782-7861 Lic: Phone:
Work Desc: REPLACE POLE
APPLICATION FEES
ELECTRI�AL FEE 40.00
' INSPECTIONS UIRED �
ROUGH ELECTRIC
CONSTRUCTION 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
local government 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.
NOTIQE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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
imp�rovements to your property. If you intend to obtain financing,consult with your lender or an attorney
�� before recording your notice of commencement."
Com iilete Plans, Specifications and Fee Must Accompany Application. All work shall be perFormed in accordance with City
Codes and Ordinances.
. / � �
� CO T � OR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. •e�s-�ao-oo�o , City af Zephyrhills Permit Application Fax-813-780-0021
Buifding depa�tment
Date Recelve i ; �j�-/7 Phoae-Contact•tor_Permtttin
Qwner's Namb l�ne �rf J Bq�tst d�' t r�',� , �wner Phone Number
Owner's Addr�ss �1—�'� Owner Phone Number � �
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Fee Slmple Yl�leholder Name � � Owner Phone Number � �
�t - ..
Fee Simple TI leholder Address '
J08 ADDRES �� ����V LOT# ���
SUBDIVISiON �� � PARCEL(D# '
, (pBTdINED FROM PROPERTYTAXNOTICE)
' WdRK PROP�SED • NEW CONSTR ADD/ALT C� SIGN' Q Q DEMOi.tSH
� INSTALL 8 REPAIR
Pi20POSED; SE [� 56R � GQMM �] C?THEFt
TYPE OF CO�$TRUCTION - [� BLOCK " [� FRAME [� STEEL 'Q
DESCRIf�T10P1 OF WORK �� ���-
Bt71lDtNG SIZE � �"8Q FOOI'AGE�`� NEIGHT ���
OB���d���' i' . �� VALUATION;OF"t'OT'P►l CONS'Ti2UC'1'ION
Q �v� w� AMP SERVICE [� PRt'JGRESS ENERGY � W.R.E.C.
El. Ci'RICAL �'
$ _,_,j „
QPL MSIIYG '' �} ,��
�.,_,_ .� �' , 18 �,�,�
QMEGNANICAL $ VACUATlQN OF MECNAi�ICAI tNlSTALI;ATICl1�t �t
� ���
OGA$ Q RQOPtNG Q 3PECtAl.Tf �� OTHER �
FINISHED FLI! OR ELEVATIONS FLQOD ZQNE AREA QYES. NO
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: - - - -- ---- - - - --
I_ �Ui�.�d1ER . - COMi�ANY"' •- - - -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address , I C(cense# � �
r'�r.�u�rrA, t �j�¢..
EEECTfttG . � ° � `COMPANY �vYs�--C �c E"3cedr�
SIGNAYURE "' REGISTERED Y/ N FEE CORRE��' Y/N
Address ' J , License#.����D�d`Z�7���
PLUMBER .CQMP.A�1Y � .
SIGNATURE REGISTERED Y/--N FEE CURRE� Y/N
Address ,Ucanse# � ��
MECHAl+ilCAI. COMPAt+1Y
$IGNATURE� - ' � � REGISTERED Y,/ N . FEE CURRE� Y 6 N �
Addres� �� � ' � ' ' � ' zicense# � i
Ol'HHR � , � - ` �.CQl�APANY �.
SIGNATURE � � � � REGI3TERED Y/ N.,� FEE CURRE�' Y/N
� Address Cicense# 1 �
RESEDENTIAR�.�, :Attacti`{2};Rtiit�.P.laris;.{2)sets:cf;8ulliliiigil'lans;{1)sefof=Eoergp�Foims;,F2=0=VU Permitfor new constructtan, „ •
- � ,Minimum:ten:,(•1.0)kworicing;days,at�er,.subrinlEtal"date.��,Required onsite,:Cons'tiucBan�Plans;�Stomnwater Plans w/SUt Fence installed,
Sanitery FaplltUes:&:,1:dumpster SIte,Wo�lc�Permit for s,ubdivislons/larae:projecks _,:,_ : __ '
COMMERCIAI. Attach{3}aomptet'e sets ofBu3tding Plans plus a�t,tfe Safeiy Page;{1}set of Energy Fomts.R-O W Petmit#or new constructSan.
Minimum#en(10)woricing days after submtttal date. Required onsite,Canstruc8an Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllitles&1 dumpster.Site Wot1c Permit 1`or all new.projects..All commercial requlrements.must meek ccmpliance `
SIGN F►�RMI II Attacti{2)sets af�ni�,neer.ed�Plans;. :- � , �Y.
""'PROPERTY SURVEY reyulred for aII�NEW constructlbn.
i}trection�: . � . . • � '"
Ffll out a plicatlon completely.
Qwner&�Contractor slgn back of applfcaUan,notarized
tf over 5 540,a Notiae of Cammencement is requirad. (NC upg�ades over S750d)
'" Agent(fqr the contracto�)'qr Power of Attomey(fai�tFie owner)would be someone with notarized letter from owner authorizing same
dVER THE C�UN'f'ER.AERMI'6TiNG-- - �{Front of Applica�omOnty)~ '
Reroofs if shiiigles Sewers Service Upgrades A/C Fences(PIaUSuwey/Footage)
II -r
Drivewa��a-Nat avar Counter if an pubfic roadways..needs ROW
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NOTICE pg DEEO RESTRIC'fyON5: -rt,�►u��+ar.��������,a�canas°:#t��t.this.•p�cmif m�y.#e;subJect tq."deed"testrictEor�s"
whlah may be<mare-restcictive-tha�County regulatCons: �The�undersigr�ed��assum@s�responsl6iltty'for�campUance'witFi any
appllc�ble deed rest�tctions. , . •
UNLICENSED� GONTRACTI�RS -AND CON7RACTOR RESPONS181LITIES: �If#he owner has fiired a cantractor or
contraotors!o undertake work,they may.be.,cequlced,�ta-:be.:.11cens�d Ir�accordance.wttth state.and�local r�gul�tions. if the
contracttror is not licertsed.as�requlted-by law, both the owner and contsactor-�may�bs-cited-for a�misdemeanor viotation
under state law. If the owner or Intended�.contractor. ere,-:wncertaln as to what Ilcenaing requireKnents may-a{�ply far.'the
fntended wrark, they are advls+ad#o contaot fhe'Pasco County Bulli3ing�nspei:#ton Divtsion--t.icensfng�Sectlon at 72T-8�7-
8009. Furthermore, i� the owner has lil�ed�a contracto� o� confractors, he Is advised ta have the contractor(s),rs(gn
portlons af the "contractor Bia�ck" of this:appilc�t(on for which they wpL.be responsfble.. If you,.as.fhe auvner�sign�as'the
contractar, that tnay be an ind�cation that'he is not.praper#y 8censed and is not er�tit#ed tv perrriit#ing ptivlleges In Pasca
County.
TRANSPS?�T'ATIQN=iMPAC1YUT1E.tT1ES lMPAG'��1Nh RESO�l�tCE REGOVERY•FEES: The understgn�d understa�ids
that Transport�tbn Imqact Fees and.Recourse Recove.ry.Fe�is m�y.�:apply_to�the constructtan,of new bulidtngs� change of�
use In existing bulldings, or.expansion=•of-�exis#i�i��buildings, as speclflad.!n P�sco County Qrdinanae number 89-07 and
90-�7, as amended.:.The undeesigned also�understands, that�su�h fees,�:as,may:ti��.:due;,witF::be Edenti�ied at th��time�of
pe�mitting. It is i�irtfie� understood that Tra�sportation Impact F�es and�Resource Recou�ry�Fees must be pafd prior to
- receiving a"ce�fif�c�Ee.of occupancy"or f1naF power.release. ��the.prv��c#��oes.nat involve=a-ce�t8�cate af occ�pancy.or
flnal power rele�se, the fees mu�t be pai� prlar to,permit issuance. Ft��th�rmare;if.Pasco County�Water/Sewer�Impact
fees are duet they.musf b�-p�ld.prioi to permlt issyanae=ln accardance wltfi sppttcabi��Pasco'.County o�dinances. �
CONSTRUCTiON LiEN"LAW(Ciiapter 7�13,Ftar�da Statute�,a�amended): if valuatlon of'work ts$2,500.00-or more, 1
certify that I, the applicant,_ have•been provl.ded with a copy of the "Flori�a CanstrucNon Lien Lau�—Hameowner's
Protectfon Guide" prepared by the Fla�lda Depat�finet�f af AgricuCtt�re and Consumer�Affatrs. If the applfc�nt is someone
other thar�the"awner", I certiTy that I h�v�.obta�ined�a i;opy;af..the;above..tlescrlk�ed`docurrient�and.pPomise��in,good faith,to
delivec It to..the"owner"�.p�ioc:to=commencement: ' .. _ ' , - .
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.certi[y._:th:at>all.the,lnfarmatlt�n In.thl�appllcatiar�is accurate and fhat all work
wiil'be done in compliance with all.applicable laws regulating constructlon. zqn���ancl:•land development. Appllca#lon is
hereby made to ob#aln .a persnit.to do waift�artd �nstalla#ion as �ndE�afed:-� .:I certifjr that no work�or tnstaliation has
commenced prlar to Issuance of a permlt and that.all work wtll be perFormed�to meet standards of all laws regula�ing�
constnlc#lon, County and City codes, zoning regulati+�n�� and iand de�velopmer►t regt�lstlor�s�3n the jurisdtctlon.- ( al'sa
ce�tlfy tha# I uaderstand that the regulatians of ather gov�rnment agencles may�apply�to the intended wark, and that it is
my cespansib!lity to fdentl(y.what.acttons!must take:to bedn�corrtpll�nce. Such agenales tncluds but are.nmt llmited to.
- aepartment af Er�vironmental Protection=Cypress.-8ayhead�, WeNand Areas and Environmentally Sensifive
Lands, Water/Wastewater Treatment.
- Soutttw$st �lor�da itltater Management� .District-We11s, Cypress.'�8ay�e�ds; Wetiand Areas, Altering
Watercourses. �
- Army Corps of Engtneers-SeawaBs, Dacks,Navlgatile Waterways.
- Department af Health� 8 Re#�abiiitative 5ervtces/Environmen�al Nealth Un1t Weiis� Wastewater�Treatment,
Septio Tanks.
- - - � __t3�-�r�virorrr���iiai€'��Q+a�tB¢�n Agency-Asbe��os abafier�+�r��:�� – - - �- _----- - � � �.- ---- - _ _ _
- Federal Aviatton.Authority-Runways.
1 und�rstand that the_foilavving,.restricfions appiy ta the use of flll:•
- Use of filt is not atl�wed in.Flood:Zone"V"'unleas�xpressly permitEed. °
- If the fill materlal is to be used. in �Flood Zone. "A"� (t. ts understood that a drainage plan addressing a
"compensaE€ng votume"will be submitted at#ime af permiftirag wrhich Is preparod by a professtonal engineer
Ilcen�ed by the�tate of Florida. �
- If th� fitt material fs to .be us.ed fn Flood �one "A" in�connection�viritF�t�a �erm�tted 6ui0ding us�ng stem wall
� construction, �certify th�t fiii�:wlli-b.e used only.to.flll the area within�#he�ster��wall. .
- If flll materlal�Is to be used tn any aeea, 1 �oe�tl�r that .use of st�ch f!1! w1!! not adversely affect ad�acent
pfope�ties. If use of fiil is f�und to adver�e�y:�ifiect adjaeent��prc�perties�.the owner may be cited for viorating
the condilions.of the b�ildtng�,peemlt Issued under ttie attached�ermit applicativn, far:Jots�.less than.one (1) '
acr$whtch ar�el�vateii�6y fllt,a�r engtneered dr�inag�p1�r�1�required. .
If I a�m the AGEN'T.FOR THE OVIINER, I,'promtse In gaad faith to inform the owner of.the.perm(tting conditlons�et forth In
this affidavtt�prlor to comme�cing canstructlon. 1 undersf�nd that a�s�par�te.permlt may be requlred tor eleat�ca# work,
plumbtng,.,signs, welis,.poots� alr conditianing,-.gas,_.or other. insfalt�tlons not.spec�fcalty inciuded�in.the application. �A
permlt issued shall be cons#rued to be a�Ilcense�to�proce�d witla tfie work,and�,nat•as.�authoNty�to,violatm,�canc�l, alter, or �
set aside any�provistons of ttie.technEca�codes;�nar sha8 issuance�of a.permEt.pr.event th�8ttlldlrig Q#�clal�om thereafter
requiring�t�nectio�af eRors-in,pla,ns; constructlon.mr violatlons of any codes. .Every�permit��issu�d sha�ll become invalid
uMess ihe work aufF�ortzedby such permlt.�ls-co�tmenced�withtn s{�c.�nonths af perrnit IssuanceJ or if urork authorized by
the permit.is suspended or,abandoned_for:a��petlad.of sUc�fB)�montFis,.after the.tinne the'work is commen�ed. An extensio�
may be requestedR In writing;.from the�Buildtng,t3fficial for a peNod:not.#s� exceed ninoty{90� days a�d-w!!!'demonstrate
austl�abfe:cause for fhe extension: If work ceas�s.for nlnety.{90}consecutive day.s,..the�ob_is considered aba�doned. .
1litARNlNC TO CIWNER; YtpU1�.�AILRJRE Tt'�,R�E.G,t7ttD,i,#.:1?�QT1GE:qF �O�i1MEMCEMEN7':NtAY RESULT IN�YC1llR
i'AYING TWICE;FOR:IMPF,tQVEMEN�$�'CID YOI�i�.PROPERTY. IF°YO.U�I��'�kVD:TQ'OBTAIN��FINAf��ttNG;'CONSULT
W!T D �O �► A�7'ORN C?RE� - ��R'�? �:` OU ' �� `Q �;� .� . � �E
�.oRiaA�ur��tF.s:t.�7.o�}., � -- . . . . _ _ ..
OWN�R OR AOEN'C���� CONt"�GTCR ' S���r �)������� ,
Subsaibed and�wo M or aflirmed be e thls Su6salbed and's+�i am�to ot afRrmed'b` m�ttii�
t�l�;j"1 by 1--1�—��, •by . � �:
W�o Islare personalty,knowm to,me or haslhave.producad 1tYho.(slare-personally#cnown•tc.me ac has/have•praduced
- - as idenU�ca�4n, � es tden8flcatton.
Not�ry Public . Notary Publlc
Cammisslon Na` Commtsslon.tdo.
Id�me ol IYotary fyped,prtoted ar stamped Name af Notary typad,pdnted ar�tamped
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