HomeMy WebLinkAbout17-18077 _
� - I ,• CITY OF ZEPHYRHILLS
5335-8th Street
I� (813)780-0020 077
� '�i ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit�#:18077 Issued: 1/17/2017 Address: 5640 17TH ST
Permit �Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Propos�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Fee�t: Est. Value: Book: Page:
Cost: 6,000.00 Total Fees: 65.00 Subdivision: CITY OF ZEPHYRHILLS
Amount� Paid: 65.00 Date Paid: 1/17/2017 Parcel Number: 11-26-21-0010-10800-0140
� CONTRACTOR INFORMATION OWNER INFORMATION
Name: �MARTIN ELECTRIC Name: ERRIGO, JOANNE
Addr: O. BOX 437 Address: 5640 17TH ST
��ADE CITY, FL 33525 ZEPHYRHILLS, FL. 33542
Phone: (352)521-3319 Lic: Phone:
Wor,',k Desc: REWIRE EXISTING ELECTRIC
I APPLICATION FEES
ELECTRICAL FEE 65.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
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CONSTRUCTION POLE
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PRE-METER
FINAL II
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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
II 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 property that
may be ound 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
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Completg Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
�� Codes and Ordinances.
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� i,, CONTRACTOR PER OFFI
�, PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
II PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, •• Building Department
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Date Recelved
i Phone Contact for Permitting • —
, �
Owner's Name � • Yl rl � !� , Owner Phone Number , I
Owner's Ad I�ess . J 0 �� Owner Phone Number �
li
Fee Simple Iltleholder Name ' Owner Phone Number
Fee Simple�tleholder Address
JOB ADDRE S �� d ( l �v) J T LOT# �
SUBDIVISIO PARCEL ID#
(OBTAINED FROM PROPERT-YTAXNOTICE) �
WORK P.ROP SED e ._ NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH �
INSTALL °REPAIR
PROP,,OSED ISE Q SFR Q COMM � OTHER
TYPE"OF CO STRUCTION Q BLOCK •• Q FRAME 0 STEEL Q �
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DESCRIPTIO I OF WORK �'L(J� l2, _V( L�S
BUILDING.SIZE SQ FOOTAGE� HEIGHT ,
,- ii,
QBUI��DING $ VALUATION'OFTOTALCONSTRUCTION
�ELEII TRICAL $ / /� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
(j�V(�� `�J '
QPLUMBING $
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QMECI ANICAL $ VALUATION OF MECHANICAL INSTALLATION g
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QGAS Q ROOFING Q SPECIALTY Q OTHER L �
FINISHED FLO R ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
"ELEC,TRI,CIAN COMPANY vl � � r[G
:SIGNA7'URE REGISTERED Y/ N `FEE CUf2RE� Y 1 N.
Address � :� 3�. ar G d"�3�� License# � � (��,3"�3
PLUMBER,,,,,, COMPANY , � �
SIGNATURE REGISTERED Y•/ 'N• FEE CURRE� Y/N
Address L(cense#
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MECHANICAL � COMPANY
SIGNATURE'' � I REGISTERED Y/ N FEE.CURRE� Y/N
Add�ess�•� ' � License.#
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;OTHER�=-"'.:" � COMPANY
�`SIGNATURE;�� ;=� ,� - ' - ' �REGISTERED Y/ N. FEE CURREK .. Y/N
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. Address�- I - • � ' License#
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->•,RESIDENTIAL<'� 'A h 2 iPl"� ,
_ .. ,,,,_ , , __ ttac__r(. ), of':Plans;`'(2)':sets=of=Building�Flans;(1•j'set of�Energy_Forms;R-O=W Permitfor new.construcbon,
.�".t, ,,. ;:;y:,�;�r.����.I.vMinimum��ten.�(>10)working?days after"siibmittal��ate.�Required'`ori'site'r ConStriiction Plans;Stormwater Plans w/Sllt Fence installed,
. , _ ,V t-. �• :., _..,.. .. . _ , .
,;,fi.\�;.� , �� ��` � Sanitary.tFacilities,8�f,1.;dumpste.r•;,Site,War,k R.ermit for subdivisions/large pr`oJects � >' � , ' _ __
. .� ._.
COMMERGIAL I Attach'(2)'compiete'sets of'B`u(Iding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon. _
'' "`` , Minimum ten(10)working days after submi�tal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
�"�' �Sanita Facilities�1 dum ster.Site Work Permit fo��all=neuir• ro ects.All commercial re uirements must meet com liance
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�`::SIGN!:PERMIT 'Attacti(2)"sets-of,Engtneered;Flans:��- � : � • - '�
l�i�.:" ' .. �
':;>:;�,_ 'i"'"•PROPERTY SURVEY required for,all,NEW constructlon:�
'�'Directions:, II._.�,.-. �� .,f�.;�;��',-.. ,. . -
''°:-`�= F(IG:out application completely.
.. �Oiivner'B�Con�raCtor sign:back of.application,notarized
If over$2500��.a Notiae:of Commencement Is required. (A/C upgrades over$7500)
.�`_'� A ent for�th`e��conVactor�orFower�ofAttome for`tFie oinrner would tie someone with notarized letter from owner authorizin same
- 9 � , � ) Y� ) 9
i;.;`.OVER:THE�COUN�ER�,PERMI7TING> ,(capy�ofcontract�required)�'� �``�'' �' _ '
_';Reroof§if stiingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _
Driveways-N It over Counter if on public roadways..needs ROW t '
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NOTiCE OF�DEED RESTRICTIONS: The undersigned,understands�that..this_�permit�may be subject to ..deed;,,restrictioiis- �,-�� ,
:.1_�.:,....;w_:.,.�: ,r;>,�,:..;;::�:��.,:��;•;.� ;:;�.-:°r�;.';��'iis:° _.�'-,9,.`a::�
which.may.,be more-r.estrictive=than�Count�y�regulatioins:��Ttie�un�a�e�signe�'�;a"s'sumes�°respons�bditjr�for��coiripiiance wrtii�:�:any,�-;�.;�
appiioalile cleed 'restrictians. . ` , .. . ._ - .. . .._..._. 'p� '#
'1ii;�S`.:.nc�`�vr-:?:75:td�"..
UNLtCENSED. GQNTRACT�RS AND CaNTRACTOR RESPONSIBILITIES:_ If-the=owner�has��hired�a��contracfar or -'
contractors to.undertake work, they.,may;.be,r.equired to be,licensed in accordance with:state:and^�loca!�r�gulations::."!f-'tlieti::��.z,;�;
contractor fs.not licensed�as requi�ed.by"`�aw, botn�'the owner:and'�eonfractor=r'iiay=56e cite�l�€or a<<misdemeanorviolation ':
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under state faw. If the owner or intende�:_contractor are�uncertain as to what licensing cequifem.ents:3rnay;-�.appiy.;for-;=tEi;e.�:•�7��;`�;,
�:..::�A -,f� <,. _ .;,�..,. �. ;._.- ....._ ......�,. �,. . ;:,,
intended�ork,they:are�advised ta contacffti;e Pasca County'Building.tn§pection Division-=Licensmg Section at 727=847-� ;.,g;
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8U09. -Furtherrnore, if the owner has hired�a� co►itractor�or contractafs, he is advised to��have the,.contr,actor(s,}�s.ign;.,�„_,;,;
,���:<�,, -,,�r,::�•;�.u.:.��.:.�..� ,
portians af the "contractor Block"of this application_for which they will be responsible.:-!f>yau, as�tt�e:owne��sign::as,�,the- ���,7.:,
contractor., that may be an�indicatian that he�is not property licensed�anii�is not entitledµto permitting�pr`iviteges;,in_Faseo.i`,.::;:�;a:�
Caunty. _ _ ., :�., .'� .,:.., .. ; y;
TRANSPORTATtON-IMPACTIUTILITIES•IMPACTAND RESOURGE RECOVERY'FEES: The undersigned unders#ands_; _;.;,��;`
that 7ransportatian Impact Fees and Recourse Recavery Fees.�may�apply to the constructionof new.bui)dings,.ct�ange.:of�'���:_;'w�;
use in ex(sting buitdings, or.expansiort o#..'ex9sting buitdings, as specified in Pasca County Ordinance number 89-O7,an,d_. ,;F�,�
9Q-07, as amended. The�undersigned aiso understands,-that such..fees, as.�may:,be,due, will;tie;ide�t�ed'at�ttie�:tlme.'ofrx`--:'�':� ,
permitting. �It is further understood #hat Transportatian Impact�Fees and Resource`?Recoverjr Fees must be paid prior to ',�F;
receiving a "certificate of occupancy"-or final„power release. If the pr.oJect does nat inVolve;a certificate df occupancy:ot�F=���3�;;
final power release, the-fees-must be.paid priorto permit issuance. :Furthermore,,.if Fasco;County Wa�er/Sewer,�lmpaeti�.r-�__� �
fees are due,tiiey,:must be paid prior to permit issuance in accordance with'applica6le:_Pasco County ordinances. n
GONSTRUCTION LiEN�LAVN(Chapter T13;"Florida Statutes,�as amended): !f valuatian of work is$2;5QOA,,O.or,more;,.t,�;.;;� { .,
cerkify that 'I, the applicant, have been`prov9ded with a copy.-of„#he "Florida Consteuction. l:ien.-Lauir=.Homeawner`'s �
Protection Guide" prepared by the Floi�ida Department af i4griculture and Consumer Affairs. If the applicant is,so.meqne:.,f.� ,
other than fhe"owner", I�certify that.L.have o6tained a copy af the.above desGribetl document and,promise-�n.good'faitli:to.`_,.;, -
deliver:it to the.'towner?'prior.:to:coinmencement; " � � � - '
CONTRACTQR'S%CIWNER'S AFFIDAYlT:;:;l;certify°that all�the information in this appticatian is accurate and'tFiat aii'work
wlll be dane in compl�artce with aif appficabte�laws regulating canstructian, zoning�and iand�development. Application,.is ,, �
hereby made ta abtain, a _permit,to�-do;,.work--and installation:.as indicated. I certify that no -work or�insta!lation=-hias
cammenced prior to issuan'ce of a pe�mit and��that a!I work wil! be perfarme@ #o.meet-standards of all laws regulating
construction, County and City codes, zoning regulations, and land develapment�reguiations in:the jurisdiction. �I°atso
certify that I understand that the regufations of other government agencies may apply to the intended work, and that it is '
my responsibiiity to iden#ify what actions 1 must take to be in campl.iance. Such agencies include buk are not IEmited_to: ';
- ,Department of Environmental.'.'Rrotectiori-Cypress Baylieads; Wetland Areas and Erivironmentafly Sensitive
L'ands,WaterMlastewater Treatment. �-
- Southwest F(arida Wa#er Management ' District Wells, Cypress .BayFieads, Wetland Areas, Altering '.,
Wa#ercourses. . � :
- Army Corps af Engineers-Seav�ralls, Docks;�Navigable Vlfaterways. ,
- Qepartment of Nealth &..Rehabilitative ServicesLEnvironmental Heai#h ,Unit We(Is; Wastewater Treatment, � .
Septic:Tanks. , . , . , .
- US Environmentai Protection Agency-Asbestos abatement. �t =� '
- Federal Aviation,Authority-Runways. �
!understand thaf;the:following:.r,estrictians apply ta the use of fill:
- Use af fill is not atiawed in Fiood Zone°V"untess expressly permitted.
- If the fill materiat: is ta be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensating volume° will be submitted at time o�permitting which is prepared by a professianal engineer �
licensed by the State of�Florida:
- If the fill materiaf is to be used in Fioad Zane "A" in connection with a permitted building using stem wall
construction; 1 certify that fitl wili be used oNy to fitl the area within the.stem wa!!.
- If fill material is to :be used in any area, I oertify #hat use of such�filf wiq rzat adversely affect adjacent
properties. !f use o€�!! is found to adversely affect adjacent properties, #he awner may be cited for violating
the conditions of the building perm'rt issued under the attached permit..application, for lots less than ane (1)
acre which are elevated by fiil,an engineered drainage plan is requi'red.
If I am the AGENT FOR_1'HE OWNER, I.promise in gaod faith to infarm the owner of-the permitting canditians set for#h in i ,
this a�dauit prior.to commencing construction. ,I understand that a separate permit may be required for elec#ricat work,. � �
pfumbing, signs, wells, paais, air conditioning, gas, or athe� insta(latians not specifically included in the application: A ,
pe�mit'rssued shall'be construed to�be a license ta_proceed with the work and no�as authority.#o violate,_ca�cel, alter, or j
se#aside any provisions of the technical codes, nor shall issuance of a permit prevent the 8uilding Officia!from theceafter `
requiring a correction of errors In plaris, construction or violatlons of any codes. �Every permit issued shall"bacome invalid
unless the work authorized by such permit is commenced within six manths of permit issuance, ar if wark authorized by ,
the permit is suspended.or abandoned far a period-of six(6j monflis after the time the work i�commenced. An extension -
may be requesteil, in writing, from the Building Officia! for a perlod-no#to ezceed riinety (90) days and wilf demonsirate
justifiable cause for the extensian. If wotk ceases for ninety(90)cansecutive days,the jab is cansidered abandoned.
WARNiNG T8 UWNER: YOUR FAILURE .T,O REC.O..RD,A NOTICE OF C.OMMENCEMENT MAY'RESULT IN YOUR �
PAYING TWICE POR IMPROYEMENTS,,TO YOUR:PROPERTY.. !F YOU:lNTEND�TO��BTAlN�'FINANCING;CONSU�T '
WITH YOUR`L'ENDER OR AN ATTORNEY BE�ORE REGORDING YOUR Nt?TICE C►F'COMMENCEMENT. �
__ FLORIDA JUF2AT(F.S.117.03) �� � � ' � �
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OWNER OR AGEMT C,bNTRACT{�R `- - " �-—�� -� - —_Y_ ____ —--_- — `
Subscrlbed and swam to(ar affirmed)before me thls Subscrfbed and swam ta{ar affirmed)before me this -
by by
Who is/are personally known to me or has(have produced' � � Wha islare personalfy known to me ar has/have praduced
as ldentlficaUon. as identificatlon.
Notary Publlc Notary Pubiic
Commission No. Commission No. �
Name of Notary typed,printed or stamped IVame of Notary typed,printed or stamped
� � �I ' � Illillllil�lillllll{i111111111111111{111111111111111�11
11111
I 2017006934
Rcpt:1830466 Rec: 10.00
� " DS: 0.00 IT: 0.00
�i 01/18/2017 J. R. , Dpty Clerk
',
IpRULR 5.0'NEIL,Ph D.PRSCO CLERK f CiMP7ROLLER
NOTTCEOFCOMMENCEN,�NT 010� BK 1948�m PG 3�0�
Permit No. I �b� �
PropertyldentificationN0.1�`'�..lp.�.(-pp�D' L��Oa — p�e.tb
7HE UNDERSIGNED fiaeby give infnrms you that the�mgrovemeni m'il be made to eer�m realpropercy,sad tn eecardance with
Seetioa 713.13 of the Flo�tde Sta4rtcs,the tollowing mtmmetlon is prov)ded fn thta NOTICE OF COMiVII.+NCEMENT.
pii pr p rty( ald n tion: ZEPHYRHILLS PB 1 PG 54 LOTS 15-18 INCI 8LK 108
1.Descri an of o e !e� £s tp � OR 92 PG 167
a)Str,eet Addiess:g(e'-!b 1`1 �',�k-. 7_o o ,..r , ?n..��-
2.Qenecal descriptlon ofimvrovements: p�,,��� „ t.r n � � �; �i
3,Owner InformaUDn - n 1
a)Neme�d addcess: �B 0.V�Y�a� �_f'P�'Cl O �040 ���"' z2�uwf)r���
• b)Name and address of fee simple titleholda{if'othv otvaer)
e)Intarest ia PlaPert�'
4.Contractor Infotmetion •' -�
a)Name and addnss: ��n����L� Q.n- 1�i�1C �'�� e�!�A '�E���p
I�c� b)Te]ep6oae No.: ��']�K�1 -. "�l Fax No.(Opt) ,_
� 5.5uretyInformetfon .
e)Netae end nddcrse:
b)Amount ofBoad;
c)Telephoae No.: • ' Fax No.(Opt)
6.Lender - •
e)Nama snd addras:
' Phone No. '
7.Identiry ofperson withia fhe State of F7orida deulgneted by.owner upon wham noticw or other doc�ents moy be served:
a)Neme end addco�s:
b)Tciephone No.: Fex No.(Opt.)
S.In eddition to hlmsel�owuer desigLates the fallowing person to reee(vz a eopy nf the I.irnnr's Notice as provided in Section
713.13(3)(b�F7orids Smmies:
n)Nt+me enci address: '
b)Telephone No.: � ' Fax No.(Opt) •
9.ExpitaHon data of Notiee of Commencemeni(the expiratioa date 3�ono year from the date of rzcord'mg unless a d'ef£e'reat dete fs
specl5od):
WARNING TO OWNBR elbll'�PAYMLNfS MADE BY T'H$OWNER AP'TER T'�EX'PIRATION ON TSE NOTICE OF
COMMENCEMENT ARg COPISIDIIAED IMPROPER PAYMENI'S IlNDER CSAP7�R 713,PART I,SEG�10N?13.13,
FLORIDk STATUTES,AND CAN RESULT IN YOUR PA'1'�TG.TWICE FOR IIVII'ROVEMENTS TO YOUR pROPERTY.
A NOTICE QF COMri�II,+NCEMENT MUSf BE RECORDED AND POSTF.b ON THE JOB SITS BEFORE THE FlRST '
IN5PEGTION. IF YOU IIVT'BND TO OBTAIIV FIIVANCIIVG,CONSiJLT YOU�t LETIDEtt OR AN ATCORNEY BEFORE
iCOMME1VCIIdG WORK OR RECORDING YOUR PIOTTCE OF COMMLNCEMF.NT: ,
STA'fE OF FLORIDA �
COUNNOFPASCO �O _'R%/r
ofOwnerdFOixier'QiAuthoi Offiar/DlrcandPutna/Maygc
s�c� nn?,. �rr���i�
Prict Nnme —T
The oregotng iastrument was ec3wowledged befine me this��day of�a� .20�1 by �6 f^M!�►
e� (type of authozity,a�officer,trwtee,¢Somey
in fad)for (aame afpacty oa b of hom��M*+*�+�eat
Pe�sonally Kaoan_OR Produced Identl6cation � Notazy Si
Type ofIdeati6cation Produeed 1"L �• C. Name(prmt) c.��'lttf"�2�-f. -�[J��� '"
E.G2o. 4�0-51 • '$'Z(o- p �
VcrlficeHon pursuaat to Section 92.525,Flodde Staartcs.Under penntHes of perjury,I declare that I have read the foibgoing end tbat �
the facts stated in!t�e true W the best of my knowledge end belieL, . (��� � . , r -
•�+��yy�I SHIRLEYATUCI�R � `�JLC�L _ , '
,:�1�i " - _Sign ofNamjal Pcnoa 9iE61nr ve� ' ,. ' .
For�oc Y MY COMMISSION Y FF 238543"_
� .�= EXPIRES:August 3D 2019. ,.,. , � , � , , , � _
���RL��•�• Bonded Thm Natary PubxcUMenriten� , ; - , _ , , _ _