HomeMy WebLinkAbout17-18405 _
CITY OF ZEPHYRHILLS =
y � 5335-8th Street
(813)780-0020 405
ELECTRICAL PERMIT - _
PERMIT INFORMATION �- LOCATION INFORMA ION
Permit#:18405 Issued: 4/25/2017 Address: 5345 5TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. ,
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,905.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 4/25/2017 Parcel Number: 11-26-21-0010-09700-0075
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: DOZIER TIM & CHRISTINE TRUST DOZ
Addr: P.O. BOX 862 Address: PO BOX 2233
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33539-2233
Phone: (813)788-0091 Lic: Phone: (813)361-9198
Work Desc: ELECTRICAL SAFETY/REPAIR MEET CODE
� APPLICATION FEES
� ELECTRICAL FEE 45.00
INSPECT S E
ROUGH ELECTRIC � J
CONSTRUCTION POLE /� .
PRE-METER � u�
FINAL ,�/
\)
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.
NOTICE: 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
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete 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
813-780-0020 City of Zephyrhi(Is Permit Application Fax-813-780-0029
Building Qepartment
; � �
Date Received Phone Conlact for Permitting –
Owner's Name I t�n. IQp + Owner Phone Number
Owner's Address Owner Phone Number � �
j Fee Simple Titlehotder Name � � Owner Phone Number � �
�
Fee Simpie Titleholder Address
` �3�� �j ?�. LOT# � -
' JfJB ADDRESB �
SUBDIVIStON �� � PARCEL Ib# � - ��' �� `dO�c7 -G7 t�O - Ob"7 5
(OBTAINED FROM PROPERTY TAX NQTICE)
WORK PROPOSED e NEW CONSTR 8 ADDlALT � SiGN Q 0 DEN14LfSH
INSTALL REPAIR
PROPOSEQ USE Q SFR Q COMM 0 QTHER �
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME � STEEL Q I
DESCRIpTION OF WORK e a:.. {�,��,,��,.,� �(�.L���c,c�,� 7 �e�,+�. �.c�c.�.
BU[LD1NG StZE � � SQ FOOTAGE[___� HEIGHT [�^�
�BUI�DING �`-----� VA�UATION OF TOTAL CONSTRUCTiON
�ELECTRtCA� $ � AMP SEF2VICE � PROGftESS ENERGY Q W.R.E.C.
,,.'_��.�,o r7
�PLUMBING � � ��,r„�
� �.,/I
�MECHANiCA� $ VALUATlON QF MECHANICA�INSTA�LATIQN j�'
i2
OGAS � ROOFING Q SPECiAL'iY � t7THER [���
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO ��
{ BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �' -�
` ELECTRICIAN � �� COMPAtdY L:. t`� G�a�c.c..� �vti.f .
� SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/
,,,. ,,......
i
��
• Address � Z License# GC 1�0013�j3
' PLUi+�BER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � � !I
MECHAP11CAi. COMPANY �
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �— �
OTHER CONIPANY
51GNATURE REGISTERED Y/ N FEE CURRE� Y/N
, Address License# � �
CtESIDENTIAL Attach{2}Plot Ptans;(2)sets af Building Ptans;{1}set af Energy�orms;R-O-W Perrnit for new construction,
Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpstes;Site Work Permit far subdivisions/large projects
CQM�I+IERCtA� Atfaoh(2}comp(e#e sets of Building Plans plus a�ife Safety Page;(4}se#of Energy Forms.R-O-W Pe�rnit for new canstnsctian.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Factlities&.1-dumpster.Site Work Permit for a!I new proJects.All commerciaE requirements must meet comptiaoce
SIGN PERMIT Aftacfi(2}sefs of Engineered Ptans.
"'"PROPERTY SURVEY required for all NEW constructian.
Directians:
Fill out application comple#ely.
Owner 8�Contractor sign back of appiication,notarized
lf over$2500,a Natice of Commencement is required. (AIC upgrades over$T500}
"* Agent(for the contractor)or Power of Attomey(for the owner)would be sameone with notarized letter from owner autharizing same
OVER THE COU1dTER PERMITTING (capy of contract required}
Reroofs if shingles Sewers Service Upgrades A/C Fenoes(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW I
i ` �
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which rriay be rnore restric#ive than County regulations. The undersigned assumes responsibility for compiiance with any
applicable deed restrictions. ,
UNLlCENSED CC?NTRAGTORS AND CONTkAGTOR RESPONSIBIUTIES: !f the owner has hired a contractor or
� contractors to undertake work, #hey may be required to be licensed in accardance with state and laca( regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
undar state iavu. 1f the owner ar intended con#ractar are unce�tain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
8049. Fu�thermore, if the awner has hired a contractar or contrac#ors, he is advised to have the contractor{s} sign
portians of the "cantractar Block" of this applicatian for which they will be respansible. If you, as the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. - �
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportatian impact Fees and Recourse Recovery Fees may apply ta the construction of new buildings, change of
use in existing buildings, or expansian of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wil! be identifed at the time of
� permi#ing. lt is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certi�cate of occupancy or
final pawer release, the fees must be paid prior to permit issuance. Furthermore, i# Pasco Caunty VtlaterlSewer lmpact
fees are due, they must be paid prior to permit issuance in accardance with applicable i'asca County ordinances.
CQNSTRUGTtON �IEN �AW{Ghap#er 7'!3, Florida Statutes,as amended}: If Vaivation af work is$2,50Q.04 or r�ore, E
certify that I, the applicarit, have been provided with a capy of the "Florida Construction� Lien Law--Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"awne�', I certify that I have obtained a capy of the abave described document and promise in good fai#h ta
deliver it to the"owner" prior to commencement.
CONTRACTt'}R'SlOWNER'S AFFiDAVIT: 1 certify tFrat all the information in this application is accurate and #hat all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit ta do work and instaiiation as indicated. ! certify that no work or installation has
commenced prior to issuance of a permit and that all work wi(I be perfarmed to meet standards of a(I laws regulating
construction, County and City codes, zoning regulations, and land develapment regulations in the jurisdictian. ! also
certify that 1 understand that the regulations af other govemment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in campliance. Such agencies include but are not limited to:
- Departmen# of Envirortmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distric#-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Department af Health & Rehabilitative ServiceslEnvironmental Health Urtit-VtleEls, Wastewater Treatment,
Septic Tanks.
- US Environmental Pro#ectian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fi[I is nat al(owed in Fload Zone"V'unless expressly permitted.
i - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
'I "compensating valume" will be submitted at time of permitting which is prepared by a prafessianal engineer
licensed by the"State of Florida. - --�-
' - If the �II material is to be �sed in Flood Zone °A" in connection with a permitted building using stem wal!
construction,,I certify thaf fiH will be used oniy to fi(i the area within the stem wai(.
' - If fill material is #o be used in any area, I certify that use of such fill will not adversely affect adjacent
proper#ies. If use of fill is found to acfversely affect adjacent properties, the owner may be ci#ed far violating
, the conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre which are elevated by�II, an engineered drainage plan is required.
If i am the AGENT FOR THE OWNER, 1 pramise in good faith to inform the owner of the permitting conditions set forth in
this affidavi# prior ta commencing construction. 1 understand that a separate permit may be required for electrical work,
�� plumbing, signs, wells, paols, air conditioning, gas, or other installations nat specifically included in fhe application. A
�, permit issued shall be canstrued to be a license to proceed with the work and nat as authority to violate, cancel, alter, or
I set aside any provisians of the technical cades, nor shall issuance of a permit prevent the Building 4fficial from thereafter
requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invalid
uNess the work authorized by such permit is commenced within six months of permit issuance, or if wark authorized by
the permit is suspended or abandoned far a period of six(6} manths after the time the work is commenced. An extension
may be requested, in writing, from #he Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety{90)consecutive days,the job is considered abancloned.
WARNING TQ OWNER: YOUR FAtLURE TO RECC?RD A NOTlCE OF CQMMENCEMENT MAY RESULT tN YOUR
pAYtNG TWICE FOR IMPROVEMEPITS TCI YOUR PRt7PERTY. IF YOU iNTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMEN�EMENT. - -
- FLORIC7A-JURAT(F.S:117.�3 _ __ _ _ _ ��._.�
OWNER OR AGENT V l� CONTRACTOR `"�.�_ �,.�_--
`�C�"1,,.
Subscribed and swam to ar affirmeci}before me this Subscribed and swom t�{ar afRrmed)hefore me fhis
by by
Who is/are personally known ta me or has/have produced Who is/are personally known to me or haslhave produced
as identification. as identiflcatian.
Notary Public Notary Public
Cammission No. Commission No.
Name of Notary typed,printed or stamped Name af Notary typed,p�nted ar stamped
�
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1840
ELECTRICA� PE�tMIT'
PERMIT INFOR6UTAYI�7N L.00ATION INFORM�4TIfJN �
Permit#:18405 f Issueci: 4I25/20'i 7 ,Address: 534� 5TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
C1ass of V11ork: ELECTRICA� �ISC Tawnship: Range:
Proposed Use: NOT APPLICABLE L.ot(s): Block. Sec#ion:
Sq. Feet: Est. V�tue: Baok: Page.
Cost: 1,905.00 Tota�( Fees: 67.50 Subdivisian: CITY OF ZEPHYRHILLS
Amoun� Paid: �67.5Q Dat� Paid: 12/19/2017 Parce! Number: 11-26-21-0010-09700-0075
CONTRACTOR iNFORIVIATION t3WNER INFORMATIt�N.
Name: REESE ELECTRICAL INC Name: DOZIER TIM & CHRISTINE TRUST DOZ
Addr: PO BUX 862 Address: PO BOX 2233
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33539-2233
Phone: {893 788-0091�� Lic: Phone: (813}361-9198
Wark Desc: ELECTRICAL SAFETY/REPAIR MEET CODE
I APPLlCATtON FEES
ELECTRICAL FEE 45.00 RE-INSPECTION FEE 22.50
- ; '� INSPEGTIO S RE U RED
ROUGH ELECTRIC I
CONSTRUGTION POLE I �
PRE-METER I
FINAL � � �l �,��yJ��
/� t N� t„
`�1
� r
�
��- �2
REINSPECTION FEES:(c)With respect�o Reinspection fees will comply with Florida Statute 553.80 (2)(c)#he
[o�al governcnen�shall impase a fee of faur times fihe amaunfi af the fe�imp�►sed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequent reinsp�ction.
�IOTIGE: In addition to�the requirements af this permit,there may be additional restrictians appl9cable to this property that
may be found in the public records of this county, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federa! agencies.
"Warning to owner: Your faii�re ta r�card a notice of commencement may result in your paying�wice for
improvements ta your property. If you intend ta obtain financing,consult with your lender ar an attorney
� before recarding yaur notice of commencement."
Complete Plans, Speci�ications and Fee Must Accompany Application. All work shall be performed in accardance with City
Codes and Qrdinances.
� �.�.--
CONTRACTOR PER OFFI
PERMIIT EXPIRES IN 6 MCINTHS WITHOUT I�PPi�t}VED INSPECTIQ
CALI. FQR INSPE�TION - 8 HOUR NOTICE REQUIRED
I PROTECT CARD FROM WEATHER
— ,