HomeMy WebLinkAbout17-18111 CITY OF ZEPHYRHILLS
5335-8th Street
� . (813)780-0020 18111
ELECTRICAL PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:18111 Issued: 1/31/2017 Address: 40343 AIRTIME AVE
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: 1,500.00 Total Fees: 45.00 Subdivision: ZEPHYRHILLS COLONY
Amount Paid: 45.00 Date Paid: 1/31/2017 Parcel Number: 18-26-22-0010-04400-0000
CONTRACTOR INFORMATION � OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: URAGALLO, TONY
Addr: P.O. BOX 862 Address: 5334 FRONTIER DR
ZEPHYRHILLS,FL. 33539-0862 ZEPHYRHILLS, FL. 33547
Phone: (813)788-0091 Lic: Phone: (813)788-4753
Work Desc: REPLACE 200 AMP 3 PHASE DUE TO FIRE DAMAGE PANEL
' APPLICATION-FEES
ELECTRICAL FEE 45.00
INSPECTI .NS REQUIRED -
ROUGH ELECTRIC
CONSTRUCTION POLE ��
PRE-METER �
FINAL �
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REINSPECTION FEES:(c)With respect to Reinspection fees will comp ith Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the ee 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.
� V��.—
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
�-`i Date Received !,t
Phone Contact tor Permittin �� �l�ll — �c')
-t-r.�_..m n_�_
Owner's Name �j^�(� U^�C3� Owner Phone Number 0 E�•
Owner's Address V3 � ��'(�j()-�'��f'� �, Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS `�03�3 ��r-T� (�. � �t � ��� �y,�j� LOTl� �
SUBDIVISION PARCEL ID# '�—� "�o�—O� D'�O��-I�OZ�—
(OBTAINED FROM PROPERTY TAX NOTC�
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q I
DESCRIPTION OF WORK la �� '�Q 3 Y{ a I
BUILDING SIZE S�FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ 1 S—�,r�•� AMP SERVICE 2/1f��0 PROGRESS ENERGY Q W.R.E.C.
� 11 W
OPLUMBING $ ����� �� `
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� 1
��
�GAS Q ROOFING Q SPECIALN � OTHER ' r� '�� "� �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ; � �I � �
sl 3 ���
. . . . . . . . . � ���
BUILDER �
COMPANV
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN rA COMPANY L C�'¢C��1(_(,1 �Lf1L•
SIGNATURE V� REGISTERED Y/ N FEE CURRE� N
Address ��� ��� L �\�(►tii�J 3� �(p� License# �-�30� $
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
Illllllllllllllllltllllltllllllllllllllllllltllllltlllfllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new conslruction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new conslruction.
Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for ali new projects.All commerciai requirements must meet compliance
SIGN PERMIT Attach(2)sels of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over S2500,a Notice ai Commencement is required. (A/C upgrades over S7500)
" Agent(for the contractor)or Power of Altorney(for lhe owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
,;;..:v
NQTI6EOF DEED RESTRtCTiONS: The undersigned understands that.this,permi#may be subject.to ndeed",resfic�tions�,`�,:`
whicti;may�;be:more=�estrietive;tha�Caunty.regulations:'°Tlie�{undersignetl`a's'surties�respor.isfbiCty for�c:c�ri��pl�anee�witti a�y
� applicabte deed restrictions. �t�•>���`^�-^���
""''� 41NL:IGENSEQ GQNTRACTORS A{ND CON7t2AGTOR RESP.ONSIBICITfES: tf-tfie owc►er�has�tiired'a..:cnntractar or '
contractors�to uridertake work,�they may�;be�r,eGuired;'to be�licensed in accordance with state and,loeal.regulafions:rlf,-Uie��":;".
cantractor.is,nof ticensed-as.Tequi�ed`tiy lavii, both�the owner:and con�ractor-rai'ay=6"e�ited��"or;a misdemeanor violatibn �°
under state law. !f the owner ar Intended.contcactor are uncertain as_to what[icensing requireinents;may<.appty°:forx;t#i'e==�� ?
� .,.. �.,_.
intended work,.they-are advised to confact`thie Pasco County Bnildinglnspeotion`Division�L:icensing Secfson at 727=847- i
8005. Furthermore, if the awneriias hired a t�ntr�ctor or contractors, he�is ailvised to��have.the,contractor,(sa�signn;� ,;'
portions af the"contractor Block"of this appiEca�on for which they wii!be responsible, lf.y`,o�,as'.tfie:owner sign'as-ttie� :s
contractor,that may be an indication that he is not properlyilcensed anti is not entiNed to permitting p��vileges,in Pasco,_
Caunty. =--c.c Y�x;=;�#
TRANSPQRTATIQN INIPACTNTfLiTIES iMFACT AND RESQURGE REC01fERY FEES: The uni3etsigned understarids '�
that 7ransportation Impact Fees and Recourse Recovery Fees may.apply to=the construction of new.t�uf�tlings,:otian"ge�of�'�:"�
� use En extsfing buitdings,or�e�cpapsiart ofi:existii►g butldings,as specified in Pasco County Ordinance number89-U7.a�ii ,
90-07,as amended. The undersigned also understands,that suct�:fees,�as�may�e.due,witl tie;identified�at?tEie�tii�is�off=Y°��n�
permitting. °It is further understoad that Transportation Impact Fees and Resource�Recavery Fees must be paid prior to
receiving a"certi8cate of occupancy."or fina!pawer release. if the prgject daes not ir�qolve a ceitificate of occap�ncy°or�s��� ?,.
final power release,the fess m�st be,paid prior ta permit issuance. Furttiermore,if Pasco Gounty WaterlSewer�i�npact,=� ;
fees are due,they must be.paid prior to permit issuance in accordance wikh'applicable_Pasco Caulnty ordinances. '
CONSTFtUGTtON LiEN�UIW{Chapter 793;'Ftartda 5tatutas,as amended): if vatua#ion of work is$2,500.00_or mocek,i�.,. .
I certify that I, the applicant, have been provided with a copy_of-the "Florida Constrt�ctiart l;ien Lavir=Horrieowner's '
� Protection Guide�prepared by the Flarida Deparkment of Agriculture and Consumer Affairs. If the applicant-is:someone_, ,
ather than the°flwnet",1 certify that i.have obtairied a capy of the above desctibed iiocument and promise in_good faiiii�to`t.,
deliver.it.to the."owner"..priar.to cammeneement � �
CONTRACTOR'SIOWNER'S AFFIDAVIT:,:I certify.that all the irrformation in this application is accurate and"that all"work
will be doae in compllance with ai!applEcable�laws regutafing canstructian,zoning and tand�devetopment. Applicatian is
hereby made to obtain a.permit_to do,wotk-and installation as irtdicaied, I certify thaf no inrark or°instailation�has
camrrienced prtor to issuance of'a permit and��that all work will be perfarmed to meet standards of all laws regulating
constcucttan, County and City codes, zot�irsg regulaUons, and land develapment reguia#ions�in'.tfie jurisdiction: �i.'atso
certify that I underskand that the�egulakions of other govemrnent agencies rnay apply to the iniencled work,and that it is ;
my responsibiiity#o identify what actions i musf take ta be in comp8ance. Such agencies include but are not limited.to:
- .Depactmerrt of Environmerital:Piotection-Cypress Baytieads,Wefland Areas and Environmentatiy Sensifive
l.ands,WateNWastewater Treatment. � `
- Southwes# Ftorida Water Management District Wetls, Cypress 8ayheads, WeUand Areas, Altering ,
Wflte[coGrses.
- Army Corps of Engineers-Seawalls,Docks,Navigable 1Naterways.
- Department af Heaith & Rehabilitative ServiceslEnvironmental.Health Unit Wells, Wastewater Treatment,
Sept�c Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviatian Authority-Rurrvvays.
I understand that.the.follawing restrlcfions appiy to the use of fill:
- Use af fill is not allowed in Flood Zone°V°unless expressly permitted.
- If the fill material is M be used in.Ftood Zone �A", it is understood that a drainage plan addressing a
°compensating volume"will be submitted at time af permltting which is prepared by a professional enginest
licensed by the State of Florida. �
- If the fll material is to be used in Fload Zone"A" in cannection with a permitted buitding using s#em wa11
constructlon,I certify#hat fill wlli be used only to fiA the area wtthin the.stem waf1.
- If fitl material is to be used in any area, I certify that use of such-fill w111 nat adversely a�fect adjacent
propestles. If use af filt is found to adversety affect-adjacent properties,#he owner may be ci#ed for violafing
the condiflons of=the building permit issued under the attached pe[[nit-application,.ior tots less than one(1)
acre which are elevated by fill,an engineered drainaga plan is requi�ed.
if f am ihe AGENT FOR THE OWi�iER,-I.pramtse in goad faith to inform the awner of.the permitting conditions se#forth in
this affidavit.prior to cc�mmencing construotion. !understand that a separate permit may be requlred far electricaf work,.
plumbing, signs,wetls, pools, air conditioning, gas, or othet ins�allations not specifically included in the application. A. , `
permit issued shailbe construed ta"be a Ilcense to proceed with the work and nof as authority to viotate,cancel,atter,or
set aside any provisions of the technical codes,nar shall tssuanca of a permit prevent the Bullding Qfttcfal from thereaRer
requiring a correction of errors in ptans,-construction or violations af any cades. Every permit issued stialf 6ecome invalid
unless the work author�zed by such perritit Is commenced within six months af permik issuance,or if wark aufhorized by _
the permit is suspended or abendoned for a period-o�six{6j months after the time the work is�commenced. An extensian
may be requested,in wriking,from the Buildii�g t)fficiat for a periad not ta exceed ninety(90)days and will demanstrate
justifiable cause for the extensfan. if work ceases for ninety{94)consacutive days,the job Is cansidered abandoned.
WARN[N�TO OWNER: YOtIR FAILURE.'f0 REGQRD,A NO'i'ICE OF.GOMMENCEMENT-MAY RE$U4T tN YOl1R
PAYING TWICE FOR!lVIFROVENlEN'LS TO YOU.R,.PROPERT1l:,IF-Yt?tl>!�!i'ENII TO OBTAIN�FlNANGtNG,CONSULT -
WITH YOUR�L'ENDER OR AN A'ITORNEY BEFORE RECORDING YOUR NO7'ICE OF�COMMENCEMENT.
FI.ORIIIA JURAT{F.S.117.03} '
OWN@R OR AGENT GONTRAC TORwrc_������+ti-�,,,�ti_
Subscribad and swom to(or aRirtned)betore me thls bscri6ed and swam o�affitmed)before ma thls �
by _ _j by,� �
Who islare personally known to me or hasThavs produced ' Who Is/r�`persanally wn to me or hasJhave produced '
as Citeritlflcatlon. � as idenWicaBon. �
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Ptotary Pubtic _ L Notary Publlc
Commtssian No. m{ssion o.
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Nama of Notary typed,pdnted or stampad Nams f ;�'�0'mrttlssion#FF 150422
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