HomeMy WebLinkAbout17-18067 �
CITY OF ZEPHYRHILLS
• ' 5335-8th Street
(813)780-0020 18067
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permiit#:18067 Issued: 1/11/2017 Address: 6121 LARK ST
Permit�Type: ELECTRICAL,MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Propo��ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 400.00 Total Fees: 40.00 Subdivision: OAKSIDE MHP
Amoup�t Paid: 40.00 Date Paid: 1/11/2017 Parcel Number: 02-26-21-0020-00300-0010
p 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
Phone� (813)782-7861 Lic: Phone:
� Work Desc: REPLACE POLE
APPLICATION FEES
ELECTRI��AL FEE 40.00
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''` INSPECTIONS REQUIRED
� ROUGH ELECTRIC
CONSTRIYCTION POLE
PRE-METER
FINAL II
REINS�ECTION 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.
NOTICE+� 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.
"Warr�ing 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."
Comple e Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
� Codes and Ordinances.
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.' CONT CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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81�aso-oo2o City of Zephyrhills Permit Appfica#ion Fax-813-780-0021
, . Buliding depattment
Qate Recel�ed , �-'��'"�� Phone-Contact for.Permtttln -
Owner's N II e l�en e S�~a�-e� Oa re s,dc Tr�,,1 pr�a�'k Owner Phane Numbac
Owner"s Adldress 4�r a ► L.a rK Owner Phone Number �— �
Fee Slmple I Itleholder Name � � � Owner Phane Number �� �
";t _ "
Fee Sim.ple Itieholder Address "
JOB I�DDR 8S • LOT# ��
SUBDIVISI I�N � � - PARCEL ID# '
II . , (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO OSED }NEW CONSTR ADQ1Ai.T �" SlGN Q Q DEMOI.lSH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR � COMM � OTHER "
TYPE OF C�NSTRUCTION • Q BLOCK " [� FRAME [,�] STEEI, Q
DESCF2IPTI N 8F WORK n�^1/ a�
BCIILDING 3 ZE �4 ��`SQ FOOTAGE C�. � HEIGHT' ����
„_,,.—,,,. ,,,.,
OB I����C' � VALl1ATiOh1:G1F TOTAL CONSfiRUC'i'IOid '
QE�I CTRICAI $ ��- AMP SER1tICE PROGRESS ENEf2GY V1t.R.E.C.
��� ; � 0
C]PL MBIN� '� � 1c1���
(�M CNANICAL $ VACUATlON OF.MECN/WICAl.lNSTALLATION �f � ���
� �� l
QGAI Q FLOOFlNG Q SAECIALTY �] OTHER -
FINISHED F 'QOR ELEVATIONS FI.00D ZONE AREA QYES. fV0
8�11���R C�MPi4t�llf� , -- --- - . --
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Addrese � • Llcense# � �
E�ECTRICIAi�} �' �Gc.�p�p �COMPANY ��ut�4 �-1��sz4 �uMc.. ��"L't'�'�v�tr
SIGNATURE ���r+�� � D�� � REGISTERED Y/ N FEE CURRE� ' � `Y/N
Address ` � License#. ��- d�.���7� * �
PLUMBER � COMRANY
SIGNATURE� REGI3TERED Y/.N F.,EE CURRE� Y-/N.
Address Licertse.# � . -�
MECHANIC . � . GOMPANY
SIGNATURE � ' � " REG,ISTERED Y../ N . FEE CURREA Y/N
Address ` ` � ^ ` , � . _.ticense# � I
OTFiER - - � . _ ,CON1PAt�1Y
SIGNATURE ' ¢ ' ' ' ' " � REGISTERED ' Y/ N... FEE CURRE�' Y/N
AddrBa$ . � . �tC8r1S8# ��� �
RESlDENTIAI: � Attacti'{2},Rlot:P,lans;:.{2}sets�of=Batlifing�$'tans;'('f}`sef of�Eiiergy Foirns;R=�={N'Psririlt for new cahsttuctlon, ,
: ;Mtnimum�tem(:10)�wa,rking;,daysafter submlttai date..:Requlred onsite,�C`onstiuctlorinBians;Stormwate�'Pians w/Siit Fence instailed, --
-����-Sanitary FacillUes.&;1:clumpster-,Site Worlc;Permft fqr.sutidiVislo�sllarg.e>projects,; _� . ' ' `
G4MM�RCIAL Attach(3}�complete`sets of'Bu1[iiiag Plans plus a t�fe�Safety Page;{1}set of Energy Farms.E2 O-W Permit far new canstructtan.
Minimum ten(10)working days afker submittal date. Requfred onsite,Constructian Plans,Stornnwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster.Site Wark Permit for all new:projects:_All commercial requlrements.must meet complience
Sl�N PERM17 Attscti{2}"sets�of'Eisglrieer,ed,Plans.;. .� <� �.� . � � �
••'•PROPERTY SURVEY required for all„NEW.constructlon. ,
Dlractlons: ..
FIII out applicaUon completely.
Owner 8 ContracMr sign baak of appltcaBan,notarized
{f aver� 00,a Notice of Commenrsment Is required. {AIC upgr�des aver ST500j
" Agent(for e�cantractor)or'Power of Attortmey(fur tFie owner)wauld be'someone with notarized letter from owner authorizfng same
DVER THE CO�NTER PERMITTiNG- - �(Front of-APPllcatlon On{y)- � � ,
Reroots if shing es Sewers Servica Upgredes A/C Fences(PIoUSurvey/Footage)
Driveway I-t3ot over Counter if on public roadwa}rs..rieeds R�W� '
1
NQTICE OF DEED RESTRICTIONS: The underslgned under�tands;#h�t,thEs;p�r:mi#:may,be,sub�ect ta°cfeed"restrlctions" �
whlah may�be<m�nre=r.este(ctive=th��County regulatlan�: '7he�unde�slgr�ed�as`sumea'resportslblllty`for'campllance witH any
appllcable desd festrtcttons. . � . �
UNI.ICENSED CONI"RACTORS AND CONTRACT�R RESPOPi�1�IL:ITIES: -If the owner has htred a cantractor or
contractors to undertake work, they may b.e,r,equlre.d�_to-be;llcensed !n accordance.with state.and•loca!regulattons.. �tf�the�
cantrac#or Is not !lcensed as required;6y law, both�#he owner and-cant�actor�may�be°-cifed far a�misdemeanor vialatfon
under state law. If the owner or Intended�;con#ractot;�are_,uncertaln as to what Ilcensing.requlrements may apply���'arthe
intended wartc, they are advlsed to co�i#acf the'Pasco Cour�t}{8uit¢91ng'tnspectloii,Dhtislon�—t:icensfng Sectlort a#72?-847-
e0q9. Furthermore, tf the owner has hlred a contracto� o� contractors, he Is advlsed to have the contractor(s) sign
portlons af the �conkraotor Block° of thls._appllcatlon for whlch they, wlll be.responslble.-. If you� a�.the avvriet"slgn a� th�
co�tractor, that rn�y be an Endicatlon that�he ts not.properly licensed and��is not enti#led ta parmitting priuileges in Pasco
,__ County. _ '
TRANSPQRTA�'ION�i�'i�A�if6940�:�'����=���k�'���t�_RESOU�tCE REC4VERY•�EES;� �'�te underslgned understands
thaQ Transportatlon Impact Fees��nd.Recourse Recovety.Fees may,•:�pply�:to:t�n�itruction-of-n�wr-b�llei0ngs,�ch�nge��of' ___
use In existing bulldings� ot�expar�sl�n>of-�ezisti�i��6all�ings� as spectfled !n P�sc� County Ordlnance number 89-07 and
9fl-U7, as amended. `Ghe understgned aiso:under�tands, #hat�such fees,-.ss,may:be:�due�;:will.=be identi�ed at the�time of�
perrnitting. It is 1'urther understoad that Tra�spart�tlon Impact Fees and�Resource Recovery�'Fees.must be pald prlor ta
rece�ving a °cer#i�cate�of�occupancy" �r f#na4-power;release: :1��the.proj�c#.does:not,involve;a�cer#�icatia o#o+c�upancy.or=
flnal power release,.the�fees mu�t be pat� prlor to permlt Issuance. Ft��thermore;if.Pasc�a� County�Water/Sewer-Impact
fees are due;.they.must be-pald..pri�r to permlt�Iss�ance-in_accord�nce witti�appltcabte.Pasco�County or�ilnances. �
CONSTRUCTtC►N t�tEN"!AW(Chapter 713, �to:tcla!3tatute�,a�am�nded): ff vatuadon of work Is$2,500.00;or more� I
certify that I, 4he �ppllcant,-have�been provlded �wlth a copy� of the�"Florida� Canstructlon� L.len .Lav�—Hameowner's
Profectloz� Guide" prepared by the F1oi�da Deparfiner�f of AgrEctitture and Consumer;Affatrs. If the appttca�t Is someone
other than the"�wner", !cert(fy that I h�ve.obtained�a copy,of..the�above.descrl�"eddaaurnentand.promtse�•In,good faith-to
deliver It#o..the."owner"`.pdor to�commericement. .� ' � ,
CONTRACTOit'S/OWNER'S AF�tDAVIT: i.ce�tify<th,a#,all.#he:informatian in.�hl�appltcatlan is accura#e and #hat all work
wil)'be dane in campttance wlth all appticable (aws r�gulating constructlan+ zoning and��land°development. Appllcatlon Is
hereby mac�e #o obtaln .a permit .to do woi�c..;�nd ihstaltatlon as tndl�eted:��...1 certify that tta work:or in�taliatton has
commenced prlor to Issuance of a perr�it and that.all work wlll be perFormed to meet skandards of all laws regulating�
constructlon� Caunty and Clty co@es, zoMng regulatians, and t�nd devetapmer�� r.eg�ia#lons�Irt the Jurlsdlc#ton. 1 a1'so
certlfy tha# 1 u�derstand that the regulattons of other government agencles may apply�to the_lntended work, a�d that it is
my responsibiliky to tdentify.what.acttans(must•take:to be�ln:.corrtpllance, S.uch.ag�ncles lnclude but are.not llrnited to:
- Department of Et�vironmental°�Pro#ection=+Cypress.�8aryhead�, V1►etlend Areas and Environmentatly Sensittve
Lands, WateNWastewater Treatment.
- Southwest Ftortd� Water Managemen# :17fsUict Wells, Cypress.�Bay.�eads; Wetland �Oreas, Altering
Wakerc�urses. �
- Army Corps of Englneers-Seawa}!s�Qocks, �tavlgatile Waterways.
- Department of Heaith� & Rehabili#ative Services/Environmen#ai Hea9th Unit Weli.s, Wastewater Treatment,
Septla Tariiis. _
- � - �S-���I�e�r�r����a�F��Q+��.ti�n Agar�cy-Asb�s�o��ba�erri�t��.--__- -- - -- --- - -
- Fede�al AvlaQon.Authnrlty-Runways.
f understand that the following:restrlctions appiy'ta the use of ffil:
- Use of fill is not aliowed in Ftood:Zone"V"uniess expressly permltted.
- If the fill material Is to b.e used�In:�fload Zone. "A"� It. Is understood that a drainage plan addressing �
"comp��sating vatume"wi11 be submltt�d at�me of permitting wh�ch is ptepared by a professlona! engineer
Ilcensed by the 5tate af Florlda.
- tf the �ill-m�terlal Es ta be-used fn Flood Zona "A" in=connec�fon�vul#h:� �ecmltted bu3lding us�ng stem wall
constructlan., I certify th.at flil:wall:b.e wsed ar�ty.to.flll the area wfthln the�stem�wall.
• If flll materlal Is to be used ln any area, I cer�liy #hat .use of such fll! wtll not adve�sely affect adjacent
praperties. if use of fill is found�ta adv�rsety..�ffect adjacent��pcopertie�,.#hs owner m�y be clted for violating
the condltions�of the bullding:permit Issued under the sattached�ermit eppllcatlon�.far lots less-than.one (1)
acre whlch�re elevstecl�by,f�ll;a�t ertgineered dralnag�plan is requlted. .
If I am the AGENT FOR THE OWNER, It promise In good falth to I�form#he�owner of�the permltting candltfons set forth In
this a�davtt��rior to comineiacing constructlon. 1 uni�erstand that a-,separate permlt may be reqetfrec!for etectrlca# warkr
plumbing, signs,.wetls,,paols,;alr conditianing,..gas, ar other. insfalta�fions not.spec�tcel�y inciu�ed�in.#he applicatian. �A
pernnit Issued shall be aonst't�oed to be-a�(fcense to;praceed wlth tiie work,and;not as-�authar,it,r_to.vlolate;�cancel, alter, or
se#aslde any provlstffns cif#he.t�chnlcal cod�s;�nar shall lssuance�of�.permlt.pceven#the Bulldtrig{Miclal fram therea#ter
requlring a correction af erco�s In.plane,con'.structlon or violatlons of any�codes. .Every perml#Issued shall becotne invalid
unless the work aafhorized.by such permlt:is.commenced•wlthln s�f�c months of perrnit issuance� or if wark aufhorized by
the permit.is.suspendad ar..abar�donc�d for.a:periad of�sUc;f1B)�monti�s,:after,the�tlnne the'work�ts commen�e�d. An extension
may be �equested, In wrlt(rig,;from the�Bullding,Otflclal for a perlod:not to exceed��nlnety(90�days a�d wIU demonst�ate
�ustifiable�cause for�the extensia�: If work ceas�es.for ninety,�90}consecutive day.sr..th\jab�is consldered aba�doned.
WARNING TO ClWNER: YOUR.�AILtJRE�Tt�a R�EC.t�R�,A:.NQTIGI�.CiF.COM�IIIEMCEME�i'.MAY RESULT IN�YQUR
PAYNNG 7WICE.FORIM�'RQWEAAENTS TO X�QUR;PIti�PER•'fY.�_IF'.YO.U�I��END'TQ'�O�TAIN��FIId�Ap�1NG;'C.ON�ULT
WIT Y ' D �O. A!►�A Q ORE�� ECOA'�? C�i OU `. . .'Q " �•°" E
FlORlt1A.lURA�{F.S:f.17.03) �- . ` . � `
OWNER OR Al3EF17'�� ��.�� CONTRAlGTOIi��_J � c,7 t � ,
Subsc�fbed and�wo to(or ai�rmed)befor e lhis Subscrlbed and'��m�to{at aftlrmed}-befo t e'ttii�
1-1�-�� by 1-��-)� •by .
Wfio Islare personally knrnim to-me or has/have produced Who!slare p.ersonallyacnovm•ta me or hasfiave�produced
as Identlflca8on. " as tdentEficaBon.
idotery Publlc . Nofary Publlc
Commiss4on No` Commisslan Pta.
lVartre ot Natary typed,pr�nted cr starttped FVame af Notaty typed,pdn#ad or stemped
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