HomeMy WebLinkAbout17-18113 CITY OF ZEPHYRHILLS
5335-8th Street
y.- � (813)780-0020 18113
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18113 Issued: 2/02/2017 Address: 38706 DAUGHTERY RD LOT�,3
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 240.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 2/02/2017 Parcel Number: ,3S-ZS-� zl- U��o � zGc,o••�po�
CONTRACTOR INFORMATION 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: 8 r3-3�z—�2�7�f-
Work Desc: REPLACE 50AMP RV PEDESTAL
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS RE IRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER 1�
FINAL i�
. �c �
� �
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 properly 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 pertormed 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
PROTEC7' CARD FROM WEATHER
$13-784-0020 City af Zephyrhills Permit Applicatian Fa�c-813-780-0021
•• Building Department
Date Recei�a�l • �,� �Phone Contact'for Permitting �tl —
1�1��'� �,� 1�`���c�,� �..�� �� �--��z_ �z 7`�
Owner's Name ' uvner one�umber
Owner's Address � �Ow�one Number �— �
_..:�__._. �����' �
Fee Simple Titteholder ldame C � Owner Phane Number � �
Fee Simpte Titteholder Address
�aa n�o��ss � �7°C� �f�`v �`�'�2� ��� LaT# ��
su�a�vis�aca C�s��a�i.7 U�Ks s� �a�cE��a#
(OBTAINED FROM PROPERTY TAX NOTICE)
' WORK PR4POSED e .. NEW CONSTR 8 ADOIA�T [� 51GN [� C] DEMOLISH
INSTALL REPAIR
' PROPOSED USE Q SFR Q CQMM �� OTHER Z
TYPB'OF CONSTRUC'I'ION Q BLOCK •• Q FRAME � STEE�. Q "
DESCRIPTtON OF WORK ` KE�-`�J�eC .,�tJ� �1J (�i�/�C�'� ��/�'}vC-t1 �
Bt!lI:DIN�StZE � � SQ FOOTAGE��' FFEIGHi' •�,.... �
QBUI�DiNG � VALUATION"�OF TQTAL CONSTRtilCTtON �
�,. �
QELECTR{CAl $ -�Z� ,}� AMP SERVICE Q PRQGRESS ENEFtGY Q W.ft.E.C.'
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QPLUMBlNC3 ��
QMECNANICAL � � y� VALUATlON OF MECHANICAL INSTALlATION
Q;GAS Q ROQFIiVG [� SPEClAI.TY � OTHER
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO
�UI�DER CQNIPANY
SIGNATURE REGISTERED Y-! N FEE CUFiRE� Y/(V
Address License# �— �
ELEGTRSCiAN , �� � /„ � CONIPANY d G�✓t� I�zGE�'-i 2j�
.- SIGNATURE �"~�' t/t� U�'j C REGISTERED N FEE CURRE� Y/N. �
.. Aaa�as� � 3 ��'� t'12�``�C �'`�� License# �2 a a t Z Z 2-� ° 1
P.zUNf BER.,, GOMPANY
'SIGNiA,TUR� RE131STEREO Y/ N FEE CURRE� Y/N
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Address , License# � �
MPCHAt�11CAL' ` � _ COMPANY
SIGNATURE' ' � REGISTERED , Y/ N FEE CURRE� Y/N �
Add�essY•�� � � ' Licens,e# �- �
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,..o.rH��a:}. �,.�-. : � - ca�n�a��r
;`;$IGNATtJRE:?x :'� •�� � � • � REGISTERED Y/.N FEE CURRER , Y/N
Address��, �, ,` _ . . License# �� �
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7;4.,..,..,• '_' _ . . . '� ' �, �'pa.��t:..., ._ . `c�: ' ' ' ' ,
r;RESIDENTIAL;��;.; ;Attacfs,;;{2);'.PIat:Plaris;;(2);sets�of�Biiiliiltig�t'tans;(1}=seta#�Energy,Fqrins;F.t;O-!11t.Permlt,fornew.construction,
�,� � � •-<-.=Minimum�:tern(�10,)working'days afte�°su6mittal�date.`Required`dnsite;Construction Plans;St"ormtirater Plans w/Silt Fence installed,
�� -� 5,... .t i-. ,� ..�.�. .� . �� -
�� Sanita,ry.,Facilities;&;1�;d�mpster;�Site:.Wor�cPecmitforsubdivislons/large=projecfs'- �
r;;COiY1WlERGIAt Attach(2}cori�ptete'sets"af"Bii9tding Plans ptus a Life Safety Page;{1}sefiof Energy Forms.R O-W Permitfor new cans#ruction.
�- Minimum ten(10)working days after submittal date. Required qnsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
�;..- 5anttary Facilitfes&1 dumpster.Site Wark PermiYfor all�new piojects.All commerclal requirements must meei compliance
s:�:�SIGNYPERMiT Attac}fi`{2}sets�.of,Engineered`Plans::r.,, • -. � . - - .
r�;;;.,' """"PROPERTY SURVEY required for„aII,NEW cpnstruc#ion. , ,
���'Di�ections:. � _, � , �
�� �" �FiU<out application completely.
�..
�. Oiivner&Contractor sign back of application,no#arized
r� ` If'over$2b00,a Notice of Gommencement ia required. (A/C upgrades over$7500) � _ ,
"'�"' .A ent'foc`ttie;conf�actoC`or�PowerbfAttome for'ttie owner would 6e someone wiUt notarized letter from owner authorizin same
9 t �.. ) Y� ) 9
;°;`,OVER:7HE�COUNTER:PERMIl"FiNG,-':�.:,.(coPY-afi:co,nt'ract�required} '- a.;,';`; � '�. - �
',: :Reroofsif sfifngles SevVers '''Serylce!Upgrade"s AfC: Fences(Plot/Survey/Footage)
,. : . ` � '- ... ".,. �,_ t _... ,
�..;."F-"; � ., �
Driveways-Not over Cdunterif on pubti,c roadways.,n'eeds"ROW
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NOTICE 0E DEED RESTRICTIONSc. The undersigr�ed;understands,that.this-permit may be subject to .deed�;}r��trictions:..
~r..;,�..:-a .,e,;.��:,;- - a;<�:�.�;•;;,t;H-:;',�.����;��._..;
whicti�:may.,b,e.Amore:restrictive;;than`County:regulations:��.��The'rundersigned�,assumes'=responsibitity'�fo�':coria�pliaince.unth`any - �m:
�.applicable deed Testrictions: � � � . :�°,������
�sis`if,;.. .
UNkICENSED`;C8N'TRACTOR� AND CONTRACTOR RESPOIdStBIL1T'tES`. If��#he�owner �h�s��t�iredX�a�•�contractor or
. ___ _ ...,
_ ,:
contractars to undertake work, they,mayr;be required`to ber�l�cerised in accardance with:state-and"°ioeal=,regulation's:::�lf::tti�e=�::��-r..�:.
contractor ls not:licensed as requirecl:"tiy"law, both the oiivr�er:and'contractor;naay��lie=cife���fo��a='rniisdeixieanor violation, A�:_-
under state�law. If the owner or intende.d contractor. are uncectain.as to.what-licensing requir.ernen#s,rnay��app�y;fot��the.w�:��`�s
_ ..#F.t ., r,�e ... . _. . ::.7'•
intended-work, they-are-advised ta canfact'fhe Pasca Caunty Building 1'nspection�Division=�Licensing Sectien at 727=847=` {.��
80Q9. Furtherrnore, if the owner-has hired'�a 'cont�ac#or or cont�actors, he is adv'ised�to fhave the,contractor(s,):;sign3,, � �
partions of fhe "contractor B(ock" af this appticafian._for which they wiil be resp.onsible. :if.y_ou, as�the�owner`sign`as'�the''"��,,
contractor., #hat may tie an indicatlon that he-is not properiy°iicerised�anc! is not eriti#led�to�permittfng pi�vileges in,=Pasco, ,;s;:�
�.:.,,�,.�.s..
County. , _ :' °_ `;.,�,:`:��'
TRANSPORTATION.IMPAGTl,UTILITIES�IMPACT AND RE�OURCE RECOVERY EEES. The�undersigned understands �"���,
that Transportation Impact Fees and Reaourse Recovery Fe.es:may:apply to,the constructian of new;buil.dings,_ctiange�of�'��;_`-.:�°�.,
use in existing buildings, br�expansion of;.existing`buildings, as specified in Pasco County Ordinance number 89=U7'and ' �'��`
x.�.<��±
90-07, as amended. The-undersigned also understands,.that such::fees,�as-may,b.e,due, will:�e'identified==at:�the�tirne��ofiw�:°Y<;;;
permitting. �!t Es further urtderstood that Transporta#ion fmpact Fees�and Resource��Recavery Fees must be paid prior to �'4'��
receiving a "certificate of occupancy." or�nal:power release. if the_pr.oject does not invoive�a ccrtiflcate of occupancy:o��tf�k:�;;;�
flnal_power rele.ase, the fees-rnust be paid prior to permit issuance. _Furtlier,more, if Fasco,County W,aterlSewer,�,fmpaci:��,= ;��
fees are due, they must tie paid prior to p�:rm(t issuance in accordance with�applicable Pasco-County ordir�ances. � �:
C�NSTRUCTiON LiEN�LAVI�(Chapter T13,�Flartda Statutes, as amended): If valuatian af work is$2,500.0,,U..or more;�l;,�.�n, ':
certify that I, the applicant, have been provided with a copy af the "Florida Construcfion Lien,.Lav�-=Homeownei's�+ .-
Prokectian Guide° prepared by the fiorida Department of Agriculture and.Consumer Affairs. If the app(icant is someqne,,,�, .
: .,•�. .
other'than the"owner", 1=ce�tify that I.have obtained a capy of the above desc�ibed tlocument and promise�in goo.d_.faitti'to,;,,
deliver,it.to#he'�owner'.':p�ior.-to.comme��eernent. - � " � ,
CONTRACTQR'S/OUfNER'S AFFIDAVlT: I:certify that al!the infarmation in this applicatior� is aacurate and that a!C i�ock
wri11 6e done in compliance with a11 applicable�laws regulating construction, zoning�and land-development. Applicatian;is ,-
hereby made ta obtain a,,.permit_to d"o; work-and installation as .indicated. I certify thaf no .work ar=.installation��has
comr►ienceit prEor to issaance af a p.ermit and�that all work will be performed ta_meet standards of ai( laws regulating ,
construction, County and City codes, zoning reguiatians, and land development�regulations in' the jurisdiction,. i�atso
certify that I understand that the�regulatians of other gavernment agencies may apply#o#he inieriiied wark, and that i# is �
my responsibility to identify what actions I must take to be in cornpliance. Such agencies include;but are not limited,ta: �-
- ¢Department of Environmental..Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensi#ive `�
Lands,WaterlWastewa#er Treatment. � '�
- Sauthwest Flarida Water Management District Weils, Cypress Bayheads, Wetland Areas, Altering
Watercourses. ..
- Army Corps of Engirteers-Seawalls, Docks, Navigable Waterways. ,
- Department of Health & Rehabili#ative Services/Environmental. Heal#h ,Unit Wells, Wastewa#er Trea#ment;
Septic Tanks. ' `
- US Environmental Protecfion Agency-Asbestos abatement. - ,
- Federal Aviatian Qwthority-Runways,
!understand Ehat�.the:following restrfctians apply�to the use of fiN: '
- Use of fill is not allowed in Flood.Zone"V' unless expressly permitted.
- If the �ill�material '�is ta be� used in Flood Zon� "A", i# is unders#ood that a drainage plan addressing a �
"compensating volume" will be submitted at time of permltting which is prepared by a professional engineer
licensed by the State of F(orida. ' �
- If the fili materiat Ps to be used in Fload Zone "A° in connection with a,permitted building using stem wall
GORS�t'i1C'�tOh, t certify that flt wift be used only to fili.the area within the.stem wall.
- If filF inateria! is to .be used in any area, ! certify that use af such�fiil wifl nat adversety affect adjacent
properties. If use of fill is faund to adversely affect=adjacent properties, the owner may be ciEed for vialating ;
the conditians of the building permit issued under the attached permit,application, for lots less than one (1}
acre wiiich.are elevated by fiil, an engineered drainage plan is requi"red.
If 1 am the AGENT FOR THE�WNER,-1 promise in good faith ta irtform the awner of.the permitting canditians set forth in
this affidauit.prior.Co commencing ccinsfruction. I understand that a separate permit may be required far electrical,work,. _ ;
plumbing, signs, vvells, pools, air conditioning, gas, or othei� installations not spec�ca(ly included in fhe appiication: A. �
permit issued shalt°be aonstrued to be a license to.proceed wi#tt the work and not as�authorit}r.to violate, cancel, alter, or
set aside any provisions of the fechnical codes, nor shall issuance of a permit prevent the Building Official frorn thereafter
requiring a correction of errors in plans, cons#ruction or vialations of any codes. �Every permit issued shall become invalid
unless the work authorized by such permit is comrnenced within six months of permit issuance, or if work authorized by
the permit is suspended.or abandoned for.a periad.;of.six{6}months after the time the work i��commenced. An extension
may be cequesfecl, in writing, from the Bu�lcling O�cia! for a period not to exceed ninety{90} days and wifl�demans#rate
justifiable cause for the extension. If work ceases for ninety(9Q�consecutive days,#he job is cansidered abandoned.
WARNING Tt> BWNER: YOUR,FAtLURE',TO RECORD.:A NOTICE OF COMMENCEMENT MAY.RESULT IN YOUR
PAYlNG TWtGE FOR lMPFtOVEMENTS TIJ YOUR:PRORERTY.:tF Yf3tl,INTE �TC!•OBTAIN�FINANCING, COPlSULT :
_-- !l4�4-'TL�!-Yl�ldR�EN�?EP t'�R�N=A'd'��1lt�tEY BEFCJl��REGORDlNG Y{3UR=N ° C�'CJ�=��OMiV1E�10EIVIENT.- -
FLORIDA JURAT(F.S.117.03) � � �
OWNElt OR AGENT. COtdTRACTOR
Subscribed and swom to(or affirtned)before me thls Subscribed and sworr�to{or af�rmed)before me this � -
bY L-2—r.'� b
Wha islare personally knawn to me or has/ttave produced ` Wt�a islare p onally known o me or has/have produced
as identlficaHort. ' �� as identification.
� •
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Notary' Public ~ -2� f` � Notary Public
Commission Na. Ca mission iV . �
,.��'�•�ya�;., LINE BOGES
:*. ... Camm(ssion#FF.
Name of Notary typed,p�nted or stamped IVame of Notary �'d mber'12,20.1g
''o�F�k4 Bonded Thru 7ryy FWn Inaurnnoe 8tlOJ96.7ot9