HomeMy WebLinkAbout17-18432 - CITY OF ZEPHYRHILLS
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5335-8th Street
(813)780-0020 18432
ELECTRICAL PERMIT
PERMIT INFORMATION � ° LOCATION INFORMATION
Permit#:18432 Issued: 5/02/2017 Address: 38706 DAUGHTERY RD LOTj21
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. �
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 5/02/2017 Parcel Number: 35-25-21-0010-12600-0000
CONTRACTOR INFORIIAATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MRVZ PARK INVESTORS LLC
� Addr: 33184 PORTAGE PATH Address: PO BOX 1462
DADE CITY, FL. 33533 INVERNESS FL 34451-1462
, Phone: (352)583-5611 Lic: ER0012229 Phone: 813-312-4274
Work Desc: SERVICE UPGRADE TO 100 AMP
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPEC NS R IRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER f
FINAL
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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.
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 properly. 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 WITHAUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
: ,/�813-780-0020 City of Zephyrhills Permit Application Fax-813aao-oa7�
'` '� Butiding Department
Date Eteceived � Phane�Conkactfor Permittin
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Owner's Name �� / �'" � � x ��v�S�� � Owner Phone Nurnber �` '� � �1 � � � 7'`y'
Owner's Address � ��Z �A1�, �'�" �ru�E2w E.rS ��A' pyrner Phone Number � �
Fee Simple Tltleholder Name � - Owner Phone Number � �
,i .
Fee Simple Titleholder Address
.�oe Aop�ss 3 �?U� " �6�v y�ilz�z y �t-�'. LOT# �_�
SUBD1ViSION �� � PARCEL ID#
. , (pBTAINED FROM PROPERT1f,TAX NOTICE)
WORK PROPGISED _NEW CONSTR ADDJAIT C,� S1GN 'Q Q DEMOLISH
~.�:e. INSTALL 8 , REPi41R
PROPQSED=USE Q SFR [� GOMM � OTHER �
TYPE OF CONSTRUCTION" Q BLOGK ' [] FRAME � STEEL �]
DESCRIPTION OF WORK 6 �U �'P sV� � '�''�� /Y)U t�l L�T Z I
St71LDI1�1G SIZE �� �'SQ FOOTAGE C��. HEIGHT�E�_____�
� [�]BUIGDING $ - . .
VALUATION OF`TOl'AL CONSI'Rl7CTION
[�ECECTRICAL $ ���U p. � � AMP SERVtCE Q PRt:7GRESS ENERGY Q W.R.E.C.
�� QPLUMBtNG '� � "
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MECtiANICA! � � VAl.UATtON OF'MEGMANICA�.Ii�tSTAl1AT10N 'J,.�» J� � 3"��
� � ,.__��������� �f� l
, QGAS Q ROOFING .Q SPECIAt.TY [� OTHEF2
' FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA [�YES. NO
I � _ '
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8t3t�DER COMPANY'� � . �
SIGNA1'URE REGISTERED Y/ N FEE CURRE� Y/N
Addres� � �� Gcense# � ` �
�LECTRICIAN;. , . '� � „ � :�g�'L{-�LC—�t�21 c ,
I ,�'GOMPANY :- -;�' ' ; !'=. �
SIGNATURE � ��`�'L`'�s %�v g c�2 r "'� REGISTERED Y N ��-cur�n �' °�'Y/N "
Address � � : , , ' j - License`#,� • ; - - ' �
PLUMBER ` COMP:Afi+iY � ,
SIGNATURE ' ,RE�iSTeREo. Y/.,N . �,,-;,,FEE;CURRE� + '' Y/N. -�:_ ,
Address .. .License.#��- : � i �
MECHANtCA1: ' � � ' COMPIWY , .
SIGNATURE � - ' � ' ' REGISTERED Y,/ N . ' FEE CURREt�. Y/_N' ,
Addrsas y -� " � - � , , , License#'�. .-, , . � ,
_�TNER .____._�-- - --- -=- _ .A - ._--__ 'GOMPANY � �
$IGNAYURE �� �4�` ' "' � ` � REGISTERED�� Y/ Nz. FEE CURRE� Y/N
Address . _ , �� � ; : , , � � , ` License#�r " I
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RESiDEfiIT1At: Attactit{2},Plo#iPlan's;(2�sets�of:Buitdi`iig'Ptans;{1}sefof'Energy'Foin�ts;��R=O-1N Perrnit for'new construistian,
; :•Minfmum�,ten„(�1,0),woricing;days,at#e.r.'submi.ttal d'ate:�:Requlred on`slte;.Constiucdon-Plens;'Stortnwate'r Pla�s w/SIIt Fence installed,
+''".�Santta�jrFacilltles.:&;1,dumpster;Site WoticP,ermlt,#or�subdivislons7large>projects:�_�_;: �:: - ' - -
COMMERCiAt. Attach{3}�comptete sets of Buit�ing Plaits ptus a I:ife Safefy Page;{1}set of E�ergy Fotms.R O-W Petmit far neuv constnscUon.
Minimum ten(10)working days after submitMal date. Requlted onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence installed,
Sanitacy FaclliUes&1 dumpster.Site Wotk Permtt for a41 new�proJecfs..All cammercial_requlrements_must meai camp8ance
�StGN PERMIT Attach(2}sets of Ei►giiieered:Pians:�.,� _,`:<�� , ... .�• '
"'"PROPERTY SURVEY required.for all.NEW canstructlon.
D)rectlons: . . , - . ``
Fill out applicaUon completely.
Owner&Contractor sign bacic of apgilcatlan,naNarized
if over 52500,a Notice of Commencement is required. (A!C upgrades over 57500)
,,-� .,::..,�, .
`" Agent(for the�cbntractor)�'or Power of Atkoiney'(for ttie�owner)would be someone with notarized letter from owner authorizin�same
�VER THE COUNTER PERMi'TTiNG -, •(�ront of-Applicat�omOnty)- �
Reroofs if shingles Sewers Service Upgrades AJC Fences(Plot/Survey/Foatage)
Drtvewaya-Not aver Counter if on pubiic roadways..needs ROW �
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_ ds�;th�t:this,•: �rmit ma be sub ect to" " '' '"'�
NOTiCE OF DEED RESTFtICTIO.NS: The undecsigned.undergtan,_ . , „ �;.,,_..:;-.t„_ y_.:;�,,,. ,J.:, .._ ,_a,deed.,,restrictions _..._ _:.�.
which may be<more��r.estcfative-th��t•Countyr�'�cegulatlons:�The.underslgned�assumes responsibiltty for compllance�witii=any� '` � �� '�
applicable deed.:rest�ictlons. .-P.;,�, .:,;:� . ;- •� • . _' � . ,. _. ,' . . ..�
UNLICENSED� CONTRAC�'ORS� AND CONTRACTOR RESPONSIBILITIES: -1f�the=�owner has��hiced �a��contractor or
coniractors to undertake work, they may-�be�ceiqui��,d�to.:be�lfcensed in accordance.with,state.and alocal:regulations:�.If�the��=- � -�'`�
contractor is not Itbensed�as�requlred`:tiy law, both�the owner and�contracto�zmay be�cited=for��a��rriisdemeanor violatlon
under state law. If the owner or Intended;;contra�tor;ere;uncertain as to what Ilrensing;requlre�nents;maygapply;�for:�the=r = -_�-�
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intended work, tfiey a�e":advised to contact the,Pasco County Bulltling.`Inspection:Divislon_-Llcensing Sectton at 727-847-
8009. Furthermore� 7f the owner'has"'hi�ed a cont�acto� o� contractors, lie ts advised to have �the contractor(s),,Xstgn ,: _
portions of the °contractor Block° of.this..appiication.for,which:they. wilt,be�.responslble._ If:you;:as___the owner'sign�as the A
cont�actor; that tnay be an Indication that`he=is`noY:properly�ilcensed'ancJ��is�not entitled to�pemiitting privileges In Pasco ,
County. , , . ; .��.: ,:: _ _
TR�►NSPORTATION:IMPACTIUTILITIES�rMPAC'i�`ANb�RE$OURCE RECOVERY FEE3:� The unde�signed understands
thatTransportation Impact Fees and.Reco.utse Recove.ry:Fees mey.��apply:to tf�e;constructton_of new_bulidings,�change�of�== ` ���' `
use in existing buildings; or�.ezpansi�n�•of���ezlstin,g:�EiWldings, as spectfled.In Pasco County Ordinance number 89-07 and.
90-07. as amended..The undersigned also':understands, that�such fe..e.s,�;as�may�"�e��.due;�,will:be idenfffied at the�timeiof�� �-�`�� "
perrtaitting. It is furtFier understood�that Transportation Impact Fees andtResource�Recovery'Fees,.mu�t�be pald prbr to
receiving-a'cerf�icate=of�occupancy" or flnal�power release.� :if�the.proJect..does,not Involv�ia�certfficate of occupan'cy.so����`=� '
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flnal powec release,�the;fees-must'be-pald,prior fo.,permit Issuance. Fu�thermore;if Pasco,County�Water/Sewer�;impact � - ,:�����>��
fees are due,they.must,be-paid:.prior#o.permit}Issuanee-ln.accordance wlth��appllcable�Pasco'County ortlinances. •
CONSTRUCTION'LIEN�LAIIV(Chapter 713� Florlda Statutes�as amended): If valuatlon of work is$2,500.00.:or.moce�;�i� _ =}:_:.
certify 4hat I, #he applicant;_-have.been provtded:wfth a-copy of the•"Flortda� Constructton:�Lien-:Lav�—Homeowner's
Protection Gu(de" prepared by tlie'Floi�da D"eparfinent�of Agric.ulture and Consumec�Affairs. If the applicant is someone :,� �.,, P-:.
other than the"owner", I certifje that;l h�ve.;obh�ined�a�'copy,of:the:above.rJescrib�ed docur�ent°and�,p.r.or�ise��in,good�.faith.to _ .
deliver it tv:the:"ownert"-:p�ior`�to�cornmericement:"'� � ' �� ' � � `: " ' - - - . _-
CONTRACTOR'S/OWNER'S AFFIDAVIT: 1.certlfy;that,all.�thetlnf.ormatlon in�thl.s-appl(catlon is accurate.and that all work
will'be done in compl(ance with all appiicable�laws regulating constructlon, zoning and.�land development. Applicatlon (s
hereby made.to obtatn :a.pecmit,,to_,do.:work.and�Installation as IndlCafed:� �:I. certify that no work-or instailatton has
commenred p�lor to Issuance of�a perinit"and that.all work will be pe�formed to meet standards-of all laws regula�ing-
con�4ruction, County and City codes, zoning regulatiQns� and land development regulations`�in `tfie jurisdiction.. ( al'so
certlfy that I uaderstand that the regulatlons of other�government agenctes may�apply to the_intended work, and that it is
my responsibiliiy_to identif�r.what.act(ons I must take;to,bedn�compllar�cs;,.S.uch,agencies�include�but are.not limlted to:
- Departrrient of Erlvironmental>�Protection=Cyp�ess�Bayhead�; 1Nedand Areas and Environmentally Sensitive
Lands,WatedVllastewater Treatment.
- Southwest Florida Wate� Management:;l�isMct-Weils,'`Cypress.��Bay.Meads; Wetland` Areas, Altering
Watercourses. •- �
- Army Cocps of Engtneer§-Seawalls,'Docks, Navigable Waterways.
- Department,of,Health�'8.,Rehabilitative�.Sentices/Environmen#al-.Nealth Unit Well.s, Wastewater-Treatment, �
Septic Tanks:. _ ` � � . :
- US Environmental Protection Agency-Asbestos abatement. .:� . -
FederaFAvlattvn.Authority-Runways;� �� - , .
-I understand that the-followin'g.�restrictlons apply fo the use of flll:
- Use of fill is not allowed in�Flood:Zone"V"unle�s expressiy permitted.,
- If the:flil materfal-is to `be used�'In�:Flood Zone. "A"� It. is understood �that a drainage plan addresstng a
°compeFlsating volume"will be sutimitted at time of��permftting which ts prepared by a professional engineer �
Iicensed by the State of'Flo�ida: �' �� - . � �t� _ , "
- If ih� flll-materlah•is to be�used (n Flood Zone 'A" (n�connec�lon�with�a permitted building using stem wall
� construction, I certify.that flll�.wall:b.e used only.to#ill the.area withln the�stem=wali: _ -
- If flll materlal is to be used In any a�ea; I�ce�tify that .use. of�`such flll�will not adversely affect adjacent
propertles. If use of flll is found.to adversely:�ffect adJaeent�properties,.the owner may be c(ted for viofating
� the conditions.of the building:permit issued-under tfie:�at�acfied_permit-application�Yfor.�:lots�.less,.than:-one (1)
acre which are efe`vated�tiy flll,aR engineered dralnage plan is required. , .
If I am the AGENT FOR THE OWNER; I,�promise In good falth to inform the�owner of the perin(tting conditlo�s set forth in
this affidavit`prior to commer�cing constructlon. 1 understand that a=separate.permlt may be requtred for elecMcal work,
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plumbing, signs, welis,:pvols;. air,conditioning,.gas� oc�other Install�ttoris noE.spec�laally included�tn.the applfcation. .A
permit Issued shall be conshued to be�a�license to'proceed with tNe;wor`k and not•as:authoNly._to,violate,:�cancel, alter, or
set aside any provisions of the technical codes;�nor shall issuance�of a.permtt.pcevent the Buildirig Ofiicial from theteafter �
requiring,a correction af errors In-plans; consfruction or vlolations of-any codes: Every�p'emt(t�Issued sfialFbecotne invalid
unless the work authorized:by such permit:is-commenced�4nrithln six„m.onths of permlt Isstaance. or If work authorized by �
the permit is suspended or:aba�doned-for:a:period of six:;(H)�monttis:after the tirne the�work�ts commenced. An extension
may be requested, in writing,;�from.tHe�:Building,Official for a pertod.not-to exceed-ninety�(90)=days a�d wlll demonstrate
justifiable cause for.the extension: If work ceas�es.for ninety.(90)cons.ecutive:day.s...th�Job is.consldered aba�doned. -
WARNI[dG TO OWNER: YOUR.�AILURE�TO,,.R�EC.ORQ A::NOTIGE:OF.�COMME - EMEMT;IIRAY�RESULT IN YOUR�
PAYING TWICE�FOR IMPROVEMENT3:T0:,YDUI�PROPERTY.;�I�°YO.EI�I�V��EN�.: OjOBTA1N�FIN�CwE1NG;'C.ONSUI.T
�+a� - - - ��.-��- a-ro F��� ���a� �r:, � �:, �a � - -- ---- -
FLORIDA JURA��(F.S:1.17.03)- .. � � - ---- . - .
OWNER OR AOENT CONTRACTOR -- �
Subscrfbed and swom to(or aflirmed)before me thls Subscribed and'suNom to(ot aflirmed)�before me'tlii$
by_ ..by.. � -
Ylmo Is/are personally knovm lo.me or has/have.produced Who.ls/are peraonallyknown tu.me,or hes/havs�produced- •
ae Identlflcatlon. ' as Identlflcadon. �
Note Public .
rY Notary Public
Commisslon No:t Commlaslon No.
Name o(Notary typed,pNnted or stamped Name of Nolery typed,pdnted or stemped
.