HomeMy WebLinkAbout17-18140 r"
CITY OF ZEPHYRHILLS ��`"�
� � 5335-8th Street ,�
(813)780-0020 18'I 40i'�
ELECTRICAL PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18140 Issued: 2/13/2017 Address: 38833 5TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,400.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 2/13/2017 Parcel Number: 11-26-21-0010-14600-0070
CONTRACTOR INFORMATION � OWNER INFORMATION
Name: MARTIN ELECTRIC Name: HIGHWATER RANCH LLC
Addr: P.O. BOX 437 Address: 31053 LAKESIDE LN
DADE CITY, FL 33525 DADE CITY FL 33523-7437
Phone: (352)521-3319 Lic: Phone:
Work Desc: INSTALL 13 LIGHTS AND OUTLETS IN GARAGE ADDITION
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER �` �
FINAL �
� ��� �
� �
REINSPECTION FEES:(c)With respect to Reinspection fees will mply 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 perFormed in accordance with City
Codes and Ordinances. '
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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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e�a-7ao-aaao City of Zephyrhilis Permit Application Fax 813-780-0021�
v_,A. �
Buiiding Department
Qate Received � P!hone Coi�tact'for'Pet�mtf#In �
Owner'�Mame ��i� VJ0.,�Q T �art.,� L.L..� pwner Phane Number
Owner's Address l l� �j�j �-O��L�,,,gt �ant� �Q ' j5�wner•Phona�Number �� �
Fee Simple Titleholder Name Owner Phone Number �� `�
,,�{
Fee Stmple Titlehalder Addreas � �°
JOB ADDRESS �vS$'�3 �J �:�+�s �1,. �or# ��� I
SUBDiViSION �� � PARCEL.tD# �/-2.�p' 2{ -C�O l� --�,(ppj� 'OG►"Z'p
• (OBTAINED FRpM PROPERTY TAX N0710E) -
WORK PROPOSED NEW CONSTR ADD/A�T � S1GN Q ` Q DEMO�ISH •
INSTALL ,. 8� REPAIR
PROPOSEp USE Q SFR � COMM �� OTFlEF2- �
TYPE OF CONSTRUCTION [� BLOCK " Q FRAME � STEEL. [�
DESGRiPTIQN OF WORK 'e� 4 L'��" /3 l�` �� „�na�Q f�--/oZ GrGa��.2.� � �
BU1I.DING Si2E �3X `�2. SQ FOGITAGE� , HEIGHT w���
� � .,�,.m...;,�;H... .�. �_ ,
BtlII.DING
VALUATION OF TOTAL CONSTRCICTION I
� ,�,,,,. � ,
�EI.ECTFtICAL $'�,i�C]�� AMP$ERVIGE ' [� PFtOGRESS ENERGY Q W.R.E.C.
_�.
QPi.UMSiiVG $
C�. � , � � ���
i QMECHANiCAL $ VAI.tJAT10N C1F MECElAf+llCAl ENBTALLATION_ � �
QC� [� Rl?OFENG� Q SPECIALTY Q OTHEF2
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA �YES NO
�„_
Bt1t�DER COMPANY - - .
SIGNATURE REGISTERED Y/ N FEE CURRE� Y./N .
Addrass LiC�nse# �— �
' EtECTftIC1AM COMPANY� �4�n��'-C7tY"le��C.
', SIGNATUItE � w--� "� REGISTERED Y F
, / N EE CURRE� Y/N
Addre�s .D .�?i �3 a �' - 33 -L�cense#, E�. (3b0 }3��. �
R�UMBER COMP.ANY^ -. - ' _
SIGNATUii@ , REOISTERED Y/--N � •. FEE,CURRE� � Y./`N
Address License# � �
MECHANIGAt: _ , ,GOMPANY -
SIGNATURE � ' J RE019TERED . ,: Y;/ N . FEE CURRE�` Y/�rN�
Address . � . . � , `. License# � �
OTHER ' COM,PANY _
SIGNA'�UFtE � ' - ' REGISTERED ' Y/ N:- � FEE CURRE� : .Y l>Nt.
Address , ��:-` � � = _ " , ; . • - �� Ucense# � �
RESIDEt+ITI_�,t;. �-Attaah{2):•P.:,Iot;Alans;{2);sets.af;8ull�ing'Plaits;`(1)ssf of�Eriergy�Fomis;'R=�1N;Pe{r'ini#:fo:r,ne'y.,congfiiction,
� :�Mln.imum�.ten:;(10)�Working;dayssafteci'submlftal:tlate:�'Req'uired ons(te;�C'onsUiiction�Plans;Stormwafe�Plans w%Stlt Fence installed,
' SanitaryFacilfUes�,&�'�,dumpster,Slte4WoticzPermlt#or."sutidiqlslans/large`proJects;:.:�;`:w,.�''_';;'. ..
COMNtERC1Al. Attach(S}c:amplete sets of Bullding�Plarus plus a"Ufe Safety Page;(1}set af Energy Forms.R-O-W Perrnit for new-cons!ndc�on.
' Minimum ten(10)working day5 after submltt�l dade. Requfred-ensl:�,Canstee�ctlan Plans,Stormwater'Plans w/Sllt Fence installed,
- - Sanlfary Faclli8es&1 dumpster.Site Work Permlt for al!new';prtijects,AI{commercial requlrements must.meat comp8ance
SIGN PER4VflT Attecti{2)set�of`Englneeir.ed.`,Pta�s�¢;{,.�,�:, ... . . ._ .• - �
..««PROPERTY SURVEY reguired.forall NEW construction.. , �
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. -. -. .. .. _ ...
� Dlreatlons: <_. _. .. � ,. .
�, F(II out applicaUan completely.
Owner 8�Contraotar stgn back•of appticaUon,notarized
tf aver 52600,a NoNce of,Gommencement is requirad. (AIC upgrades over 575o0j a
�-'4.`:, ,;-..�cy,e>>y' I
" Agent(for tti'e contractor)or"Power�dfAttainep(fo�the�owner)virould be somenne with notarized letter from owner authorizing same i
DVER THE Ct3UidTER:.PERM1TfiNG -- (Front of Apptication Only} -� '�;==-� �
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ,
priveways-Not aver Counter if an publtc roadways.:needs'RQW �
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NOTICE QF DEED RES.T.RlGTIO�lS. The.ut�dersigned�under.�tands�;tfi�t thl�:.p�rmlf;may b„e�subject;to°deed"_cestr[ctior;is°�: �
wfiich may:beamore:5rest�lctive=tt���i�Caunty=Si�eSulatCains.��Ttie':under�signed�'a's'sumes:responsiliitity=for'"compiianc�`with any�� �� ,��
appl4cable deed�.�eshlctlons. • `' �' ' � ' '
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UNLICEMSED:CONT#tACTORS.-At�t� CONTRA+CTQR�RESPt�NSIBILITIES:=-°-tf�ttie°owne�=ttas��hireiiry°��.conttactor or
aantraotors to undertake work, they.may.be<re:qu'Ice.d�to:„be;licensed,ln:�.accordance_with.state,and�:l�cal;regul�tions:V�-lf�tFie� '` �
contractor.ts�not�IEcensed"::a"s�:requiced°`6y law; tiot#i the owr�er.an��contcactar�may 6e�cltedy#i�r ar�;misdemeanbr violatior�
under skate law. IP#he oavner or intend:e.d�:co,ntra,�ta�,are,:uncertain as to what.licensing.reguirements:�ma�y.�apply��for'-the� -�= ��-����
, ,.._� ..,�.:., �.r ...,.. .
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intended work, they'�ire'advlseii'to'coritact"ttie:Pascb County�ullding�':Inspeictlon,;Divlslo�tcer�s_ing Section ak 727=84?-
8009. FurtFtermore, If tlie�av+nier Fias fii�eiiQ a coint"racto�oT coriti�ac�oTs, he Is advEsed to have;the contractot(s), stgn _ �
,—,.._,.;.-s ,��-.�.,..,..„.,. • ,�a,
portivns of the "contractor Block" of;;tbis.�ppllcatioa.for.which they..,wlll...be.r.e.sponsl6le..,.If-you,�.as:..fhe�owrier`'slgn Ta��tFie� � � �
confractor, t#iaf may be�an lndlcatibn°#hat�he`fs"not'propetiy�t�censed �nd"Is'not"eriti�ec!"to petmlt#i�ig priulfeges In Pasca _
�ounty. -- ' � • ��= `` �
TRANSPQRTATION�lMPACTIUTILITI�S�IMRAC'��1Nb�RESOURCE RECOVERY�FEES:The under�igne+�tinderstands
thatTranspaitetfon imp��t F�es.snd.Reco.urse Rac�v�.ry.F�es„rttay':appiy�:ta�ti�e con�truction,of.new.build)ng�,�change�'of °- " °
use in existing buildings,�or-:.expar�sibn,�of=}exi�tiFly�bulldings� as speclfled.(n Pasco County Ordinance number 89-07 and
90-07, as amended.,.,The undet�#gned a4so�understands, thait�:�st�ch fees;:,�is•tn��'�be>�.due„�wI11Y:E�e Identified at ttreuf�me=,of'. �;-��,.� -
permilting. It is fur'tlier understoad that Transportallon impacf Fees and�Resoucce`Recouery°'=�'eesx,must be paid prior to
rece€ving a°aecf�#cate-of��ccupancy"��or�ftnaE�.pawer;celease:' :4f�th�proj�c�,:does°:nbt invoive;a-.cert�(cafe of oe�upancy-o��-'. ., ..
finai pawer retease;;.the.fees':mu�#;�be paid:prior to permif issuance. �u�thermore,:,.�tf Pas,co;:Cauntyr`WaterlSewer,�lmpact-
fees ar�due,they.:musk be:�pald;prlor to.permlt�(ssuance��n accordance.witfi applfcable�Pasco�-County ordinances.
CQNSTRUCT[ON'1:lENFL.AIN{C�iapter 713.Flo�fida Statvtes,as�mer�dedj: If vatua�an of work is$2,500.00�or.more, { � .
certify that I, the appllcant,:have--bee����provlded�witFi- a copy�of:#he°�"Florida��Constn;iatton Llen 'l;aw—Homeawner's
ProtectEon Gufde° prepared by t�ie Fto�tda Qepartment af Agrlciilture and Gor�srtm�r Affalrs. If the appftc�nt Is.someane - ;<-
ather than the"owner", I certlfj►that.l�h�ve.ok►tainedfa�copy„of the:above:descrlbed'�ocurir�ent,and;p_romise 1n;goqd{�faith:to �
deliver It to the,`owner�'pclor�to=commencemerit;:': � � . ' . .., ... ,
GONTRACTCiR'SlC1WNER'S�1�FIDAVIT: I..ceitify;th�t all the:informat€on in•this appllcatlon is accurate and that ali wark _
will'be done in compllance with all appllcable�laws regul�ting �onstructlon� xontng and_,land:development. Appltcatlon is �
hereby rnade te �b#ain:a.per.mit,,#o;d��worlc:,and, liistallatlor� as Indtcated:�.:. 1 certifjr tF�at no work`;or Ins�aitation�has
comm�nced prto� to Issuance of'a permlt and thaf:all wark will be pertormed�ta meet standards-of all laws regula�ing- .
const�uctlon, Coun#y and City cades, xoning regulatians, and land development regul�tto�s•!n tkie��juclsdicfiort: 1�a4'so �
certify#hat I ucid�rsf�nd that the regutations of oth�ar governm�nt agencies may�apply_to#he intended work, and that it is ;
my responslbility to adentEfy�what.actions I must take:to betln:.compllance: 3uch:agenales.lnclude but�are.not limlted.#o: 4
- Departmenf oi Ertvlronmantal`�Protectian-Cjrp't�ss.'Bayhead�, 1Netl�and:Areas and Envirarimentalty 5ensitive �
Lands,WaterMlastew�ter'Treatment. {
- Southwest Ftor�da WaEer Mat�agement- ,.t�istrfct-Wells, -Cypress.`�,.Bey�aea�d�, Wet#and Areas� A1#��ng `�
Watercaurses. . " _
- Army Cprps of Engtneers-Seawalts,Docks,Navlgable Waterways, k
- Department o� .Health 8 Refaabititafive Ser_vices/�mrironmen�at Fteaf#h Unit:Well.s� Wastewater Treatmen#, �
Se�itic Tanks, � . ,
- US Envlronmental Pratection Agency�lsbestos aba#ement, �
Federal Avlatlon Authority-Runways.�.
I undarstand thaE the.following;restrlctions apply to the use of flN.� ' ,
- Use o#fill is not aflowed in Flood:Zone"V"uniess expressiy pecmitted.
'� - If the fill materlal -Is to �be used:.ln. Flood Zone. uA", It Is understoatl that a drainag� p9an addresstng a
"compensating volume�wilt be submttted at#ime of pe�mttttng whtch Is prepared inr � prafession�l �ngineer�
11ce�sed by-the-State-of Flo�lda: ` . - � �
- If the fill materlaf�_is-#o be used in �tond Zone 'A° in��cannecfion�wrlth:a'�ermitt�d builtling using stem w�ll
' construc#ion,�I certliy#hat fiil:wlli-b.e used only.#o�11 the.area withln�the�stem waiL - -
- If flll materlal Is 10�`be used-°In any area�-1"certlfy that use. of such"flll wlll not adversely affect adjacent
properties, ff use of fill,.ls f�t�nd to adver�e�r..�ffec#�.,�djacer�t��properties,.the owner may De cifed for vio�ating ,
the condl#ions of.tiie'building::permlt fssued undee the at�acfied�ermlt��pplicatlon� for:lats less;than.ane (1)
acre whtah are elevatect�tiy�fl!!,an engEneered dratnage ptan Es repuired. .
If i am#he AGENT FOR THE OIMNER, I;promise In,good f.alth to inform the owneraf�the permltting'condit�ons set fortF� tn
this affidavtt'�prlor to commencing constructlon. "!'urider,stand that a�s��arate pecmlt may be requ[red for electrlcal work, ;,
�-�,.. ,
plumbtng, signs, welfs��Po,ols;.air. cvndittoning�:-:9as��oc other. Ir�s#i�t��ti"ons no��spec�tcally inctuded�in.the�applica#ion. .A ��
permlt Issued shatl be•con'strued to%6e��a'Ilcenseutd�proceed with'the`work and not:as:authoNty to,violate,.cancel. alter, ar �.
set�stde any provlslons of#h�techn#cal.cod��;�nor sha�l lssuance�of a.pe�mlt.pr.eve�t the 8ulldirig O#�iclal#rom therea#ter ;�
requiring a correction.af errors In�plans�,_cons#r;uctlon or vlolatlons of ar�y codes:�.�ve-ry=pernnit Issued shall become invalid `'
unless #he work authoNzecl.by such permlt:�s.cor�tmenced�wtthln sUc manths�of permlt lasuancex or If v�rork authorJzed by `,
�he permf#is suspended or.abando�ed for:a:petiod;of�six f8j�months:.after ti�e#Ime the�wo�rk�fs cammenced. An exiensian '
may be requested� tn writing;.ftom the�8uilding;�Officlal for a perlad.�not to.exceed ninety�(90) days and�in►ilf demonstrate �
us#Ifable cause far.�the extens�on� If v�iork ceas�s:for ninety{90}c�ns.ecutive:dsy.s�..the jab is_cansidered aba�doned. :
MARNtNG TO Q9NNER: YOUR:.�AlLlJRE Tb.�;R�G:QRD,.A;N�TIGE:C��=CQMM�M�EME�TaMAY�RESUkT IN YOtlR
�AYING TWtCE.FOR tMPROVEMIfEN.T�i;TO::Y�OUi���PROPERTY��A�iF�YO.U�iNTE�D'T�:�iB�TA1NufIhtl�NE1NC�;'C.ONSIIL7' �
NITH Y U ,ND ,O� N- '�'TO •.�B FO'. :..�ECO1�� �:Y:. ' �;C ,t3 ` . �� • C � '
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�f.QRIDAJU}tA'��{F.3:_11T.03) , � , ,.
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)WNER OR AOEN7 CQNi'R�►CTOR" � � -_ --- �` -
iubscdbed and swom to(or aiflrmed}baiore me thls Stibstx16�1 attd`svuom�to(ot�fllrmedrbafota me't�itS �
by ,by � .. �
Vlio Is/are personally known to.me,or has/have produced Who�ls/ere p.e�sonallyknown•ta me or:ha,slhave�prodiiced - �
as IdendBcaBon, � as EdenBflcatEon, '
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Notery Pubtic . Nolary Publlc
:ommissto»tda: Com�isslon.No.
lam�of fVotary lyped,printed ar stamped FVame of Notary typed,Printad w slamped
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