HomeMy WebLinkAbout17-18068 i ��
CITY OF ZEPHYRHILLS �
5335-8th Street
• ;� (813)780-0020 � $
ELECTRICAL PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit�:18068 Issued: 1/11/2017 Address: 37601 COREY LEWIS AVE
Permit �Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Propos�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: � 2,592.00 Total Fees: 50.00 Subdivision: GRAND HORIZONS
Amoun. Paid: 50.00 Date Paid: 1/11/2017 Parcel Number: 34-25-21-0180-00000-3290
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. &'REFRIGERATION Name: GRAND HORIZON HOMEOWNERS
Addr: 39111 PATTI RD Address: 12110 SEMINOLE BLVD
ZEPHYRHILLS,FL. 33540 LARGO FL 33778
Phone: (813)782-3319 Lic: Phone: (813)508-3586
Wo,�k Desc: INSTALL 200 AMP METER SERVICE FOR POOL
� I APPLICATION FEES
ELECTRIQAL FEE 50.00 �
INSPECTIONS QUIR D
' ROUGH ELECTRIC
CONSTRI�CTION POLE �
PRE-METER
FINAL II � '
/ !
�
'
REINSPECTION FEES:(c)With respect to Reinspection fees will comply � h 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.
!� NOTICF�: 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
impr�vements 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.
I '
G�!'G��
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
�
�� '��7-o.a�o i��� ����
S•� �'�(►p V�O� � � v�P.�1�W!1,� O j�I - - - .--
�_
��-� Ii
M
' ��X'�Gu�
� �
�
�"`^°'��,$�S ,
r � ��r � � � � �r
♦� � � � � � � � �� � � � .� � a.. �
1� �1 ��-- �. - � - - - - - - - �'" - - �
� �
` � Dt
. 1��� �
'�' ap��►� Mo1a� ,,e�
.,�a a���� u>> , -�A �,1 ,��
,�,.:���� �1 �F <�
� N MH.� aaaao� � �
� 1r 7,a; '
s�� � -�'Jo� o�,� C�7
�
� ��„��, -a����►��
�So� �.�a a� aun .�►���u.� c.uro O�`�
�5 n�� ��n �� , ,
� �
�
. ,,,
' � �
� � N . .
813-� 0-002o City af Zephyrhills Permit Application F�-atia-7$o-aa2s
�• Building Department
Date Rec�tve,c� ,Phone Contaat far Permitting�`� -
Qwrner"s Mamel 0 ?.('J 1� -Z Owner Phane Number
Owner's Addr ss Owner Phane Number �- �
Fee Simple 7i#leholder Name � � Owner Phone Number �� �
., 4
Fee Simple Ti leholder Address '
JOB ADDRES - "� LaT# L�J
� SUBDiVIStON � � PARCEE.ID# � � �� ` ��J���
(OBTAINED FROM PROPERTY TAX NOTICE)
WOttK PRdP�SED .. NEW.CONSTR ADDIA�T � SIGN Q � C] DEMO�ISH
e INSTALL 8 REPAIR
PROt?t3SED SE Q SFFt Q COMM � flTHER
TYPE':OF CO STRUCTION Q, BLOCK •• [� FRAME 0. STEEL �� �
DESGRIPTIO OF WORK ' � r�U� �. �V'��-`'�=li��Q �00 V
BUILDING'SI E � � SQ FOOTAGE��� HEIGHT �
QBUI DING �r� VALUATIOiV'OF T()TAL CONSTRIICTtON
, E!: GTRIGAL $ .. AMP SERViCE �,�� �PR!'3GRESS EI�fEF2GY Q W.F2.E.C.
�
r�
�PC. MBIIVG �i � �y �f(j U
� ( t9� t
QME HAN{CAL $ VALUATlON OF MECHANfCAI fNSTALLAi'ION I 11 �
'�l v�
Q,GA Q F200FIiVC.y � SPECIAl.TY � �THER
FINISHED FL�JOR EI.EVATIONS FLOOD ZONE AREA QYES NO
SUiLDER CQMPANY
SIGNA7URE REGISTERED Y'/ N FEE CURRE�. Y 7 N
Addres �Liaense# � �
``ELECTRI,GI. COMPANY a4- � � ��- Q
31GNA7URE REGISTERED / N FEE'CURRE� /N
` Addres - G� Licensa.# �1�f1l�b f�.���^�
' kY.u=:..
PCUNtBER,, . CGIIVIPANY�� _ ,
SIGNATURE °REGISTERED Y-/ N-� FEE CURRE� Y/N
Addres ' License#-� �
� MECM�INIC" ` � � GOMPANY� _ .
SIGNATURE"' ' �� � � REGISTERED Y,/ N , .FEE CURRE� Y/N
AildresY - License.# � �
-��''ti;� - � .
` :OTHER=`"�;, ,: ' . ' COMPANII
�`3 SIGNATURE r;,�4:: .^' � � REGISTEREp Y/.N., � . FEE CURREK Y/N
• Addres <,; I� � �� � � , ` � License# �- �
,;,. I`"
�,:_.'. , ' a . _.,,.. ;... . _ . `,_,r;�; �� - x:,, : „ ,
„�RESiD.ENTI ...,. `';Attaah.;.(2}:Pttsf;Plans;:;(2)i.'sefs�af�BuiCding-Rtans;(1}{sei af`Enetgy Forrii§;R=O;W Peinilt for new.constt�c#ian,
_,. �;�.;;i��r•�.--:.Minimum�hen�,(t1Q)';,wgrking;days:afte��sutiiiriittal:dafe:'Requi�ed'bnsite;Con`stru'ction"Plans,.StoCmovater Plans w/Silt Fence installed,
���.rw,,, "" ���Sanitary�Facilities�&_1�.dumpste.r,•;:SiterWork�Pecmit.for;sutidivisions/large;piojecfs " - �
�`G.OMM�RCI Attach�(2)�compiete sets of Building�Ptans plus a L'�fe Safety Paga;(1)set of Energy Farms.FF-O-W Permit far new construafion.
s:r._
> Minimum ten{10)working days after submittal date. Required onsite,Canstruc#ion Plans,Stormwater Plans w/Silt Fence installed, _ _
Sanitary Faa�lEttes&9 durnpster;,Site.Wark Petmlt:foF%all�new-pmjecEs.Aii commerciai requirements must meet comptianos
�.;?,'SIGN"F!ERNIIT "'Attacti 2'�'sets:of°En�inaered;P(ans.`�> � - � � :- -
,- ...* ( � ... -,� , 9
�:� PROPERTY SURVEY[equired.,for all.NEW canstruction:-
,,:. .,,
�:�_ ,..s�....__.._.._,_.».,._...._ .. _ ;
.:;�;DirectPon�s: I ,t;,,:;,e�m..� ,.-°r,: -
' -����FilL:out� pplication completely.
„:t` �
�.tiv;rner. C,ontr�aatar sign'back of application,notarized
's, 'If over 2500;.a Notice°of:Commencement is required. (AIC upgrades over$7500)
�:�:;,.:,;�,,��;;;
'A`*" Agent{(�r the�coriiracto'r}�orPower•:of'Attomey'{for'the owneP)would tie someane with notarized letter from owner authorizing same
�i;�;OVER',THE'�OUNTER;PERMIT�TING�;_., .'(cbpy,af contract=�equired)� `'��
':��Reroofs if.sii rigles Sewers Seniice Upgrades.�A/C Fenbes(PIot/Survey/Footage)
` ` --_ v.._ .,... �.�_._ _ . �.. � s. ' _ .
DriVew ys-Not over Counter.if on-public'roadways:.n'eed§.R01N ,'
II
-
� i : ---- . . ,. . ��-.��:�..:
- - � I
NOTICE.OF DEED RESTRICTIONS: The;undersigned,understands.that..this permit.may be,swb'ect.to".de�d"..'�"`'.'�'`'' ���^2'`�'
which;may,.;be.more.r,estricti�e.:than{Gounty cegulations: The:undersigneci�;assumes>res ,onsibili..,=for:cam`�lia'n.'c Swith ann'�"� �
p � p ;..;�,,,�f�...�-�..,,:����
applicable deed 'cestrietions. � I y
1..�..".. .�.� -r.�' _' ."�5 K:o-i
UNLICENSED:-CONTRACTORS AND` CONTRACTOR RESP.ONSIBIGTIES:- "If=fhe�-own�er��has° liined'u a��contractorf oc���
contractors to undertake work; they,may:be�required to be�_licensed in accordance with:state�and�loeal:;r,egulations:`��IfY.the��`";
contractor is not.licensed:as required by�law, both the owner�and'contractor:rriay�6e��cifed for a misdemeanor violation- �:
under state law. If the owner or intended�,co�t[actor are uncertain as to what•licensin ce uirements.,rna���� � � .•.� : ,� ' ;�-_;Z_
,.:1.
intended work, they.are advised to confact�tiie`Pasco County Buifding Inspectiori°Divisio;.:Licensing Section at727-`Sth�e � _
8009. Furthermore, if the owner has"hired'Ta contractor�or contractors, he�is advised'to;.�have the:contractor s:�,s�n: �.�.
portions of the "contractor Block"„of this.application for which.they_will kie:responsible:-:-If:you,as�theti.oViine�`�si`n�'as��tlie�''=�`:
� )_ 9.:,k�-.,.
contractoc, that may 6e an indication fhat fie�is not prope�ly�licensed:"anii-is not en`titled�to errriittin �� �" 9 " '
County. � , p , g privileges_in;Pas`co;,-5;�i;;
TRANSPORTATION IMPACT/UTILITIES�IMPACTAND RESOURCE RECOVERY'FEES:`The�undersi,ned understands --.:-,
that Transportation Impact Fees and Recourse Recove Fe:es:�ma .,a I �to the construction of,.new,bu9dings, change:of�5;;:i�
ry Y PPY_..,_. <_-:.,��:. .-
use in existing buildin.gs, .or:expansion:.of�:existing�buildings, as specified in Pasco Counfy�Ordinance number 89=U7:and�:';:
90-07, as amended. The undersigned also.understands, that,such.:fees,.as'ma y,be,du e, wi l l,"be�i denti f ied af�the=�tirne>�of.�"'�';
permi tting. �I t is further understood that Transportation�impact:Fees-��and Resourcer�Reeovery.Fees must be paid pcior.to�� , '
receiving a "certificate.of occupancy" or final,:power release. If.the project does not inv.qlve:a certificate of aecu anc::;or��=t;'�;�1
final power release, the,.fees�must�be:.paid prior to perrrii� issuance.,y;FurtFier.more,.if Pasco Count Waten/Sewe;�Im ast.:r��'
fees are due, they musf be.paid prior:to permit issuance in'accordance with�applicatile�P'asco:County ordinances. P� y� }
CONSTRUCTION-LIEN�'LAW(Chapter 713;Fiorida Statutes,as amended): If valuation of work is$2,500.00..or_moce;Tl;�::�.�
certify that I, the applicant, have .been-.provided with a -co of, the '"Florida Construction.�Lien-..Law=Homeowner's
PY.;,: .. . ,,,°°,. ,,
Protection Guide" prepared by ttie Florida Department of Agriculture and Consumer�Affairs. If the applicant�is.someone�=: �
other than the"owne�',`I-certi that.l�have obtained a copy of the above describeci`clocument�and romise�in, oo,d;:faitli;,to
fY- .,,.i...,f,�_..;:i:.,
deliver:it.to the."owner°�prior�to-coinrnencem�ent:' � � � � - �p� �� � -: .. g �
CONTRACTOR'S%OWNER'S AFFIDAVIT:r=-I�.;certify_that-all the infor;mation in.this application is accurate and'that all`wo�k
will be done in compliance with all applicable'laws regulating construction, zoning�and land development. Application is
hereby.made to obtain a._permit..to�:,do„work�-and installation..;as--,indicated. I certify that� no=work or installation-has
commenced prior to issuance of a pe�mit and-that all work will be pertormed to.meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development-regulations`in�the jurisdiction: �I:�also �f
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is 4
my responsibility to identify wFiat actions I must take to be in compliance. Such.agencies include,but are not.limited.,to: , ��
r Department of Environmental.'Pr�otection-Cypress Baylieads, Wetland Areas and Environmentally.Sensitive
Lands,WateNWastewater Treatment..
- Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering r
Watercourses. 'i
- Army Corps of Engineers-Seawalls, Docks, Navigable VI/aterways. ,�
- Department of Health 8� Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater 7'ceatment,
Septic.Tanks.
- US Environmental Protection Agency-Asbestos abatement. "
- Federal Aviation Authority-Runways. � �� �
I understand that•the following:restrictions apply to the use of fill:
- - Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used';in. Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is pre pare d by a pro fessional engineer
license d by the State of Florida I
- If the fill material is.to be used in Flood Zone "A" in 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 fiIF inaterial is to :be used in any area, I certify that use of such�fill will not adversely afifect adjacent
properties. If use of fill is found to adversely affect-adjacent properties, the owner may be cited for violating �
the eonditions of-the building perrnit.issued under the attached-permit application, forlots less than one (1) '
acre which.are elevated by fill, an engineered drainage plan is requi�ed.
If I am the AGENT FOR THE,OWNER,�I promi'se in good faith to inform the owner of,the permitting conditions set forth in z
this affidavit prior to commencing consfruction i I understand that a separate permit may be required for electrical.work,
plumbing, signs, wells, pools, air conditioning,'i gas, or other installations not specifically included in the application: A -
permit issued shalY�be construed•to�be a license.to.proceed with the work and not as authori.ty.to violate, caFlcel, alter, or
set aside any provisions of the technical codes,!nor shall issuance of a permit prevent the Building Official from theceafter �
requiring a correction of errors in plans,=:constru'ction or violations�of any codes. Every permit issued shall tiecome invalid
unless the work authorized by such permit is c�'ommenced within six months of permit issuance, or if work authorized by
the permit is suspended.or abandoned-for a period-of six(6)`months after the time the work i�`commenced. An extension
may be requested, in writing, from the Buildingi Official for a period not to exceed,ninety(90) days and will demonstrate 4
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned: "
I �
WARNING TO OWNER: YOUR FAILURE TO� RECORD A,NOTICE OF �
PAYING TWICE FOR IMPROVEMENTS;TO YO.UR.,PROPERTY. IF YOU:�INT ND TO OBTAIN F MANC NG CON ULT
WITH YOUR t'ENDER OR AN ATTORNEY BEFORE�RECORDING YOUR NOTICE OF=COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03). _ '
� , • - — -- --,�
01Nfd�EFt OR-AGENT — � � CONTRACTOR
Subscribed and swom to(or affirtned)before me thls Subscribed and swo r affirmed)before me this ,
by � —//—�
Who Is/are personally known to me or has/have produced � ` Who is/are p rsonal k�iwn to me or has/have produced
as idendfication. I
as identification.
I
Notary Public � �.j�
Commission No.
i Notary Publlc
Commis ion
Ii �4�Y.P••, JACQ
,o. .;�.,
Name of Notary typed,printed or stamped � _ �:= Commission#FF 150422
Name of Mota ' , eg�r� g� er ,
� �'%;oF F�°Q'� Bonded Thm Troy Fein Insursnoa 800•3857079
' II _