HomeMy WebLinkAbout17-18443 � CITY OF ZEPHYRHILLS
� 5335-8th Street
(813)780-0020 18443-
i
ELECTRICAL PERMIT /�
- PERMIT INFORMATION ' LOCATION INFORMATION
. Permit#:18443 Issued: 5/03/2017 Address: 37647 COREY LEW IS AVFt OT 321
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: 500.00 Total Fees: 40.00 Subdivision: GRAND HORIZONS
Amount Paid: 40.00 Date Paid: 5/03/2017 Parcel Number: 34-25-21-0180-00000-3210
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS'A/C COMPANY Name: WEICK RAYMOND E & RUTH
Addr: 12232 HWY 301 Address: 10701 ROSEATE SPOONBILL CIR
DADE CITY, FL. 333525 ESTERO, FL. 33928-2462
Phone: (352)521-4977 Lic: Phone:
Work Desc: ELECTRIC FOR DEHUMIDIFIER
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER " � ^
FINAL � �� �� I� `
�
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.
�
�
�f ,�TRACTOR PER OFFI
�P`ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
� , •- Building Department
Date Received — ,f'�- Phone Contact for Permlttin S'02 a - �9 ��
9 "`
Owner's Name �(/ /� _ Owner Phone Number
Owner's Address � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS �(D �` � C7�'� LOT# �
suBoivisior� �� ,-,� PARCEL ID# , a? / 0 O U O C�0 02 Z�
(OBTAINED FROM PROPERTY TAX NOTICE�
WORK PROPOSED e .. NEW CONSTR B ADD/ALT 0 SIGN Q � Q DEMOLISH
INSTALL REPAIR
PROP.,OSED�USE Q SFR Q COMM � OTHER :
TYPE`OF CONSTRUCTION Q BLOCK •- Q FRAME Q STEEL Q �
� �, �f � �/
DESCRIPTION OF WORK !Ji �✓�Z�'a"[.L� . �.
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�ELECi'RICAL $ �� � , � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, QPLUMBING $
' �
, QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r� l ���
4I
QGAS Q ROOFING Q SPECIALTY 0 OTHER
I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO .
_- - - - -- - - ---_------
-- -- ---
—- --- -- - - - -CORfi PAPlY--- - -
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
- ELECTRI,CIAN ;,.• COMPANY /'L�� �C '
SIGNATURE �T/L(.��%�GU O��,S REGISTERED Y/ N� FEE'CURRE� Y/N .
Add�ess aa � - �o - . L• License# "�� , 08 '"���j
� j=�����r—d.J�
,,,, .
PLUMBER.,.,� , - -COMPANY:' ;-_ - ` �
•SIGNA7'URE REGISTERED Y.•/�N: ," FEE CURRE� Y/N
Address Llcen`se#' �
, , � -
� :.MECHANICAC' , . . , , COMPANY: - -
" "SIGNATURE�' • � ' ReGisrEREo , Y/ N , FEE CURRE� Y/N � , .
' . • , . � _
Add�ess-'° ' ' _ � � � L-icens.e# -
.S.:yt:. ' � ',_. , . .- .. , ,
_::OTHERT�;:;'.'°: � � ' � �COMPANY . - `
�%SIGNATURE,�;:•�r, - - - , '. •` � '
, _ - � REGISTERED Y/_N- � FEE CURRE�' . ` Y./N� ., ,
�;;;; �„'- , - �,, . . . .. - _ .
�AddFess_;.. :.r,��.' ._ .y.:.:; �.�c=�`� ' � ' _ License.# ' ,. , _. _ .� ,.
-.�RESID,ENTIAG;;�r:Attacti:(2,�Flot'Ptans;;;�2:sefs�of`Buildin '�Plans;�1-'set`of�Ene :Forms�R-O-��::Permit:for'.n�ew.construotion . -
- ), �.) ,. 9 �..) _ r9Y. ... , W. ., .
r� ;� " �.�� ��-'�Minimum;Ytem(;10.)working;days'afteF;'s',ubinittal>date: Requi'redonsite;°ConstnicGon Plan's;:StormwaterPlans,w/StltFence.installed„ _
�-� ; ..>;
v,�: • , .:.f:^;:..�._ .
;�.:_.._r - . �s, .,. U,
,, . . - . ,. __
- __. �- "Sanita,:ry.;Facili8es:&`1�.dumpster'Site�VUo[kReRnit:for;sutid'ivis'ions/large;projects�.. - ' ' - , "" - - '
,.�.: ..,:�.-... .,. .- .
�=�.:.C.OM,MERCIAL= : Attach�(2)corriplete:sets of;Building;Plans,plus a Life Safety.Page;.(1)seYof Energy,:Fomis:R-O-W=Permif_fornew constniction.".
� - '�,���� �„' Minirrium`ten.(10):wo�king,day;s after:submittal'date. Required onsite,_Construction.P.lans�Stormwate�.Plans;w/Silt Fence;installed„-
;� - '�' � ��'- - Sanitary' Facil'itles;8 1`dumpster Site VVo�k P.enriit:fo�"all-new:p'rojects..All.commerciaFrequi�ements-must meet compliance � ' �
:�1.SIGN:PERMIT '`Attach�,(2)sets of;Enginee�ed Plans:.'�•, � � . - - " ' - ' �
' - . .- � """PROPER7'Y SGRGEY;�eGui�ed,for.all�,NEW;construction:� � � ,� � -, - ,
�,�� - - - _ - - ,
�Diiectldns: � _ ' . _
.- ':�F(Il�out'application.completely:�- , '.; ,: ., , , ,y
.• . O,wne�'8 Contraator sign.back of application;,notariied•� ' � �
� '�If;over$2500,'a;Notice of:Commencement i's�required:,-_;.(AIC.upg�ades.over..$7500) ::,; ,
�.;•..;;.
�"'�'"_� ,Agenf(for°th`e�contracto�)�or�P,ower'of:Attomey;(for.;ttie"o.vmer).would�tie someone-with_notarized.letter.from.ownerauthorizing.same
�c.;OVER;THE�COUNTER:PERMI7'TING:'{,`._;:.�(copy'of:contract.required);' `.-'��"'`'�``' � '` � ' , � . - � '� '
�I ;`';Reroofs•if'shingles � =,Sewers-� �;.SeniiceUpgrades._A/C'. Fences:(Flot/Survey/,Footage)= ' .
_`:-�.,.
� �=Drlveways-Notiover Counterif.on.putilic roadways:neeclsROW-� ,.
.. ,,. . , _ , , �,;�; -
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NOTICE�F DEED RESTRICTIONS: The undersignedtundeestands,:that.this;p,ermit may,be,subject to,�deed;,r r.estriction�s-Y�.�;_fi
whieh;may:be,morercestrictive:than�Caunfy.cegulations °�The undersi�gned as'sumes�'�espansibitityEfor.co'mpliance�*i'nnth any ' °
appi'ri:abie deed 'restrictians. ; • z=>:i;�:N'• . �,-�u >�
UNI:IGENSED- CONTRACTQRS ANQ" GQ1+tTRAGT4R RESPONStBtL1TtES: �If-#lie-oviriier��has��iiiredYa�:�canfractor or
cont�actors tp underkake�work, they may,be;required to be�licensed in accordance:with_state;and�local;regulations:z-zlf the�:iy�-#';
contractor is not licensed-as required,liy'law, botli�the awner:and"canfractor,may�be��eited�=for��a>:misdemeanorviolation• ,.�=.;'
under sta#e law. tf the owner or intended,con#ractoc are uncertain,as to what licensing�requir.eiitents�rnay�xapply;f.or;the:-;^'�'_�'i
, .. 1:Y'�:.n"...-�.,,,,
intended work,#hey.are.advised to coritac#`tlie'Pasco County Building�fnspection`Division.-Licensing Section at�727�847=� ` ��'
8009: Furthermare, if the owr�er�has"°ti'rrerl�a conttactor or cont�ac#ars, he`is advised to�?have.the;,con#racfor(s),;sign..xw..;,;�
portions of the "contractor Block"ot'this.appfication.far which_they will be resp.ons�ble.-�if:you, asa;tlie,oiivr'ie�sign:as��tfie�`'�=',#
contractor, that.may�be an iridication fhat�he�is not praperlylicensec! antl is not enti#led�to�permi#ting privileges::in.:Pasco,,;,::;,;,
County. , r . . , �;��< r,��
TRANSPORTATiON IMPACTIUT(LiTtES�IMPACT AND RESOURCE RECOVERY FEES:-�The undersigned under.stands� !�.`;�!�
��-�:::r...;;.n=..i..�<��
that Transportation fmpact Fees and Recourse Recovery Fees may.rappty to fhe construction of_new..b,uildings,.,ciiange�o�f`���;;°;a:'
use ln exisiing baildings, o��,ezpansicin o#:';eicisting kiuildings, as spec�ed in Fasco County Ordinance number 89=07 and ��:��
90-07, as amended. The undersigned alsa unclerstands, that such,fees, as'rrray:b.e�.due, will"be�ident�ed�at=tti�';,timet'ofi�=';;J�'`�,
permitting. �It is further understood that Transporkation Impact �ees:and Resource�fRecovery..Fees must be paid prior to :';
receiving a °certificate of occupancy" or final,power release. If the.project does not in�alve a"certificate of occupancy�o�:-��`=���`,.,
fina( power re(e.ase, the fees-must be.paid prior to permit issuance. �Furtfiermare,-.if;Pasco�Gounty W,._ateclSewer�lmpact:�;r».��
fees are due,they must be paid prior to p,ermit issuance in accordance wi#h°applicable_Pasco�Gaunty ardina'nces. � ''
CONSTRUCT�ON �IEN�-LAW{Chapter T13, Flarida Statutes, as amended): if valuation of work is$2,500.00,.or mar.e,,�1�:��� _
certify that l, the applicant, have been pravided with a copy of the "Fiorida Constructian: �Lien .Zaw=:Hameowner's�
Protec#ion Guide" prepared by ttie Florida Department of Agriculture and Consumer.Affairs. !f the applicant�is:someone:,.,�
�..�,.
other than the"owner�,,I-eertify that L have obtained a copy of the above�d"e'scribed tlocument and�promise�in,gaod:fai#h�to- ,_,,
deliver.it:to t.he';owne�':'priar.;ta-commeneement. -" '
CaNTRACTOR'S/OWNER'S AFFtDAYIT:: .I.certify that all the information in this apptication is accurate and'that ail�work ,
wil( be dane in comp(iance with all applicable�(aws reguiating cans#ruction, zoning,and iand�development. Appiication_is �
hereby made #o obtain a permit to do;.rrvark and �nstaifation_as indicated. t�certify that no work ar-installation•has
commenced prior to issuance cif a pertiiit and�that all work wilf be per#armed ta-�meet standards of a!I laws regulating ,
canstruction, County and City codes, zoning regulations, and land development�regulations iri'�the jurisdictian.�,�k`also .
certify that I understand that the regulations af other government agencies may apply to the interided work, and that it is 1
my responsibility'#o idenfify what actions t must take to be in compiiance. ,Such agencies include;but are not limited�to: �'
- ,�Department of Environmenfal:`Fr"ofection-Cypress�Bayiieads;Wetland Areas and Environmentatly Sensitive z
Lands,VifateriWastewater Treatment. _
- Southwest Fbrida Water Managemerit District Wells, Cypress Bayheads, Wetfand Areas, Aitering
Watercourses. - t
- Army Corps of Engineers-Seawalls, Docks; Navigable Wateruvays. ;
- Departmen# of Health & Rehabilitative Services/Environmental Health ,Unit Wells, Wastewater Treatment, ;
Sepfic°Tanks. �' ' "
- - US Environmentai Protectian Agency-Asbestos abatemer�t. - � � �
- Federal Aviation Autharity-Runways.
I unders#and that�the following�restric#ions apply to the use of fill:
- Use af fill is not allowed in Fiood Zone°V" unless expressly permitted.
- If the .fill material:�is fo be used in Flaod Zane "A", it is understood that a drainage plan addressing a
"compensating valume" wiil be submitted at time a#permitting which is prepared by a prafessianai engineer �y
licensed by the State of Florida.
- 1f the fi8 material is to be used in Fload Zone "A" in connection wiih a permitted building using stem wal!
construction, !certify that fi!!wi!!be used only to fi!!the area within the stem wall.
- If fill material is to be used in a,ny area, I certify that use of such'fill will not adversely a�Fect ad}acent
praperties. If use of fill is found to adverse(y affect�adjacent properties, the awner may be cited for violating '
the eonditions ofi-#he building permif issued under the attached permit.application, for lots tess than one (1)
acre which are elevated by fil1,an engineered drainage plan is requ9�ed.
If I am the AGENT FOR THE OWNER,.!-promise in good faith to inform#he owner of-the permitting conditions set forth in �
this affidavit prior to commencing c6nstruction. ! understand that a separate permit may be required for electrical.work,. _ ;
plumbing, signs, wells, pools, air conditioning, gas, or other installatians not specifically included in the application. A . _
permit issued shall"be constrtied�to'be a license to proceed with the work and no�as authority to Violate, cancel, alte�, or
set aside any provisions of the�technicai cacies, nar shalt issuance of a permit prevent the Building�fficial from thereafter
requiring a correction of e�rors in pEans, constructian ar violatians of any codes. Every permit�issued shall become invalid
unless the work autharized by such permit is commenced wi#hin s� mon#hs of permit issuance, or if work autharixed by -;
the permit is suspended or abandoned-for a period.-af six(6)months after the time#he work is'commenced. An extension ;
may be requested, in�writing, from the Building Official for a period not to exceed ninety(90) days and will demonstrate
justiffabte cause for the extension. tf work ceases for ninety(90}consecutive days,the job is considered abandaned.� �
WARNfNG TO OWNER: YOUR.FAILURE. TO RECORD A.NG1TlCE O� CQ.MMENCEMENT:MAY�RESU�T 1N YOUR
PAYING TWlCE'FOR lMPROVEMENTS'�Q YOUR:PRC?PERTY.> !F YOU�INTEND>TO��BTAlN�FINANCING,CONSULI'
----- --WITHICCMUR�LENDEI�CIR`AW'�1'TORNE'F��Ftf�l�-R�COPDl�9G-Y�4lRNOTlG�`����Ol!►!IIlUIERIi�EIVIENT.-- -. -`
FLORIbA JURAT(F.S.1t7.03 � � /
OWNER OR AGENT Cr���-�� r r1.�iJ C.ONT(tACTOR__��'����'�1"r✓
Subscribed and swom to(or affirmed)Before this Subscribed and swom to(or affirtned}before e this � ^
by by
Who is/are personally known to me or has/have produced � Who Is/are personally known to me or haslhave produesd
as iden8fioa�on. as iden6ficaUon.
Notary' Public ` Notary Publ3c
Commission Na. Commission No.
t3ame of Notary typed,printed ar stamped Name of Notary typed,printed or stamped
' � . � .
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CAC-058575 PROP�SAL
1Z232 FIVI/YY 301 DADE ClT�' (352)521-4977
DADE CITY, FL 33525 ZEPHYRHILL�(813)779-9515
NAME: Ray Weick Qate: 04/27/97 SPL(TSYSTEM XX PKG UNlT —
SUBDIVISiON: Grand Horizons HEATPUMP o s�t.coo� -
ADDRESS: 37647 Core Lewis Ave �`�- `� �" - �'�'�;� Y' Y
Y ,�.� �`:�:�..����`�"' _��:..
cm�: Zephyrhilts ZfP CODE: 33541 ONDENSER: MUZGL�ZNAU�I
PHo�v�: 239-498-1052 WORK: IR HANDLER: MSZGL12NAU1
CELL: - RENTER: HEATER:
ES'fiMATOR: Ch�IS RAND: MITSiIBiSHI
w��,...,;L`..,y�_.y..k�,.v`-ti7'.S:"a�Y:�.i=S � +n �'wiJ�R`r;� .�:_ 3 94
y ..r,i��k.r�a�r��-a,R� N.. .������;��v:— EER RATING 23 7.52
�:a 'r s:ur �.R..aa�.Tac��..-rc+v+.erar.�e.•,E.��r... _ -��c-' _ f
P/� INSTANT REBATE: 500.00 C-�
,
NCHOR CONDENSER T ' 3,QA.7.32 \
TAX,LABOR AND PERMIT ONNAGE: ` � PARTS: 5 YR
;
ELECTRICAL WIRING OMPRESSOR: 7 YR wBOR: 1 YR
35'LINE SET '% ���.- �`�
- _� ':�-_ �<.
LINE COVER�FI'fTINGS NDENSER: �
' IR HANDLER: #NIA
�+��: #NlA
� BRAND: #N/A �
EER RATING: � #(V/A
INSTANT REBATE : #N/A .
T TA s �N/A ��
ONNAGE: #N/A PARTS: #N/A
OMPRESSOR: #N/A LABOR #N/A
OM�ENSER: �
tR HANDLER: #N/A
Ea-rER: #N!A
�w�: #NtA
EER RATING: � #N/A
;,�`�.� ��,:.� `-���"�F,��. �=���''_ _ r� � "�- INSTANT REBATE. #N/A
r�-����=.��K;:,�_ :�'`.��;�:��s�.,.. �t�
I HAVE THE AUTHORI7Y TO ORDER 7HE WORK OU'iLINED ABOVE. 1 AGREE THAT SELLER ` T Ta • #N/A
RE7AINS TfRE TO EQUIPMENT AND MATERIALS UNTI!FINAL PAYMENT IS MADE.IF PAYMENT ONNAGE: #N�A PARTS: #N/A
!S NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENTAND MATERIALS AT OMPRESSOR #I�IIA tABOR: 1 YR �
ELLERS EXPENSE ANY DAMAGE RESULTING FROM SA1D REMOVAL SHALL NOT BE
E RESPONSIBILffY OF SELLER. LIMITED WARRAMY•EQUIPMEIYr,PARFS AND
TERIAL HAS WRffl'EN MIANUFACTURER'S WARRANTY ONLY.
(11UAC)
CUSTOMER SIGNATURE DATE: