HomeMy WebLinkAbout17-18191 CITY OF ZEPHYRHILLS
5335-8th Street
r'�'
' (813)780-0020 18191
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18191 Issued: 3/01/2017 Address: 6755 16TH ST
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: 675.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS I
Amount Paid: 40.00 Date Paid: 3/01/2017 Parcel Number: 02-26-21-0010-03000-0040 �
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DOUBLE M ELECTRIC Name: OAK CREST LLC
Addr: 40410 RIVER RD Address: P.O. BOX 669
DADE CITY FL 33525 ZEPHYRHILLS, FL 33539
Phone: (813)713-3150 Lic: Phone: 813-997-5337
Work Desc: INSTALL TEMP POWER POLE 150 AMP
APPLICATION FEES
ELECTRICAL FEE 40.00
�
INSPECTIONS E UIRED
ROUGH ELECTRIC
CONSTRUCTION POLE � /
PRE-METER '�
FINAL
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.
� �
CONT CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-7ao-ooza City of Zephyrhills Permit Application Fax-813-780-0021 �
• 8uildEng Department
• .
Dat�iFteceived Phone Contaat for Permitting �
Owner's Nama �'( �`'�5 � ��� �--�c"' �l ���5 ~bwn�f t�h�one{4umber ���`� � ( �� ��
Owner's Address l �'� ,�i'' ������'L-s `�� Owner Phone Number � � s
Fee Simple Titleholder Name _� Owner Phane Number �� �
Fee Simple 7itleholder Address
JOB ADDRESS �� �'����..�`�--�"� C9 S� �`�—~��rL'z� LOT# ��
SUBDIVtStON �� � P�4RCE�(D#
(OBTAINED FROM PROPERTY TAJC NOTICE)
- W4RFC PROPQSED e . NEW CONSTR 8 AC}D1Ai.T �� SIGN [� � Q DEMC}�ISN
INSTALL REPi41R
PROP.,QSED USE. Q SFR Q COMM �� OTHEF2
TYPE':OF CONSTRUGTION Q BLOCK �• Q FRAME � STEEL Q
DESCRIPTIQN OF WORK ���� �� � �C'� �lt'�� � ��I�lG,I�
BUII�DING SIZE � � SQ FOOTAGE�� , HE�GHT ,C_,. �
QBUIl.DING � � VALUATIOiV'OF TOTAL CONSTRI7CTION
QEI:ECTRICAL $ ���' „ � AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
'! C � (J(,aJ
QP[.UMBING � ...��
QMECHANlCA� r$ VAF.UATEON OF MECHANICAL INSTALLATI4N � � �
L� � �
QGAS Q ROQFING Q SPEGIAI.TY �� Ol'HER
�
FINISHED F�OOR ELEVATIONS �� FLOOD 20NE AREA QYES NO
BU{LDER COMPAIdY
SIGIdATURE REGISTERED Y'/ N FEE.CURRE� Y/N
Address -License,# � �
ELECTRICIAN . G///'� ' COMPANlf' �aG1J3LI� I� f2�/z�-�I�I�
, SIGNATURE � REGISTERED Y/ N • �FEE CURRE� Y/N.
Address ��� !c'j�� r� �f fl .�l�l��'c t l� 3 3-�� �icense# �� l��d��d��
PLUMSER,., COMPANY,- '
SIGNATURE� a��tsTEReo- Y/�N ` " FEE CURRE� Y/N
Address �-License#`� I
.. , <<. � . -
MECHi4NICAti. � COIIAPANY
� 'SIGNATURE'' � REGISTERED Y/ N FEE CURRE� Y/N
Add're'ss��° _ License.# � �
.;��r..� . .
.: :OTHER° .-'�' ; . � ' COMPANY
�`'SIGNATUREi:>i � " � REGIS7ERED . Y/ N FEE CURREK Y/N
' -Aiidress= - , - � ' License# � �
=<:-: , r .
r'r,RESiDENTIAL�;:; ':Attach=(2}:PtoE:Plans;`,(2)::sefsofBuit'ding�Plans;(1)'set`of'Energy.Forms;R=O-Vt!Permit,fornew.constiuction,
, ^�:.�rr;-;;.,,c,c;Minimum;a.ten{(,10)�'_w,orking�days aftec sukimittal�date. Required"onsite;ConstrucUon'Plan's;S'tormvirater Plans w/Silt Fence install'ed,
"r,:�„ " Sanitary�Facilities&1 slumpster•,,Sife_Woric:Permit far,subdivis[onstlarge p�ojects�- ��
:���.COMMERGIAL Attach�(2)�comp(ete`s`ets of'Builtling Plans pius a�Life Safety Page;(1}set of Energy Farms.R-O-W Permit for new construction.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� Saoltary Eacilities&1 dumps#er.SI#e Wark Permit fo�alE nerrv p`rojects.All c�mmercial requirements must meet compliance
;':SIGN'PERMIT �A#facfi(2)sets.of;Engineered�,Plans:�;: . �
"`t���'� """"PROPERTY SURVEY,required for aII.NEW.ainstructlan: ,
:hDi�ections: r . .. . . ,
� Filf out`application complstely.
�" O.wner:&.Contractarsigit.backofapplica#3on,notarized
�;,_
If�over$2500;a Notice.of Commencement ls required. (A/G upgrades ov�r$7500) _
,� !t }sY.���,-.w,....:$,•.
, Agent{fcir'Uie�conttactar}ar°Power of'Rttomey{fbr'tfie od+rner}wauld tie someane with notarized letter trom awr�er authorizing same
�.,:OVER`:THE-COUNTER:PER,MITT�NG: (copyof-contract�required)
'`�'Re�oofs.if stitngles Sewers Service Upgrades A!C Fences(Plot/Survey/Foahage)
.. ,
's __ _.. ._._. .__.. .._ -. ..
� Driveways-Not over Counter if on pu6lic`roadways..needs ROW
� _..,�,.,-.,,-r.�-�-�---�.��-..^�.xc:s�t�_.::�c.s''�
-._. ... ... '�
. �x
, .
,, j k'•.."ti��'i=,�'. .
NOTICE OF,DEED RESTRICTIONS: The undersigned.understainds,that this;ptermit may be.subJect to,"deed"�rest�ictions;z.,eY�„`.,�
which,may�6e-mare=r.estrictive�than:Count}r reguiations.�The�unders�gnetiKassumes��respons�bihty-fcir�compl�ance-vvith any �
applicatile:deet!restrictions. � . - ",_ . . .. . .. �. .:,_. -<�=`"`'_ :,.""'�,°'", ;`
UNLIGENSED. CQN.T=.RACTORS AND' CON'7RACTOR RESP.�NSIBILITlES: If�tfis-owner=��has��tiired��a~�contr:actor or �°�
cantractars�to undertake work,�they,,may,;:be:re.quired to'be,licensed in accardance with.state_and locai�.regulations�:.v��lfr�,tlie;:;��.,;
. i,. - --- �..�. .
contractar is.not licensed.as-required'tiy`law, both the owner:and:confractor�rriay��6e-�ciYed�'for;o,a���riii§derrieanor violation� _�;;
under s#ate law. �if the awner or intended,.contractoc are uncertain as.to what iicensing requirements;�rn.ay�appiy:for;ithe.=:>���:,;
I intended work,they are-advised to corif�ict"fFie Pasco County Br�iliiing Inspectiori"Divisiiin-Cicensing Seatian at 727-847- �;�
8b09. Fu�thermare, if the owner has�ttire�i�a ccirifractor or contractors, he is advised ta�;have,ihe,conEracto,r{s},�sign,.,, �:,
, .:,, ;x:;.,.�n.:��-�� ,,,...;.,
portions of the "contractor Block" of this application,.for which they-wiA be�respansible:�-lf:yau,;as`the`�:oitirier'sign"asy'.flie "f';;�±
contractar, that may be an indication�that he�is not properly licensed and is nof erititled-to permitting pr'ivileges,.,in;Pasco;_. ,Y,
Caunty. _� _::� �:.;,_;.=:�.r:��:,� ,
. . {�::
TRANSPORTATtON tMPACTNTILITIES�IMPAGT AND RESt3URCE REGOVERY FEES;�The undersigned.understands,r� ,;� '
that Transportation Impac#Fees and Recourse Recavery Fees.°may:appty fa#he consftuction,of new.buiidings, cFiange�.of'=�;�;+ `
use in�existing buifdings,.or•expansion af;,existing buildings, as specified in Pasco County Orciinance number 89=07,:an,ti �:4:,
90-07, as amended. The-undersigned also understands, that such.fees,�as rr�ay--b,e.due, wll!`be��dentified-at'F�tliex�tirrie��of-����':� �
permitting. "It is further understood that'Transportatian Impaat Fees�.and Resource'wRecovery:Fees must be paid prior to _`:� .
receiving a"certificate of occupancy" or�final,power release. If the:project does not.invqlve,a certificate af occupancy.of:�•s'<'� `
final pawer re(ease,.the fees-mus# be paid prior to permit issuance. .Furtfiermore,.if.Pasco Cbunty Water/Sewer,<Im,pact"�;=� ;
fees are due,they must 6e paid priar to.permit�ssuance in accordance with applica�fe Pasco Coanty ordinances. � �
GONSTRUCTIQNIIEN-L=AIIV'(Chapter?43, Ftarida Statutes,as amended}: if valuation of work is$2,500.00 or moce;�rin-�;,- . '
.,.,.:�,._....
certify that '!, the applicant, have been provided with�a copy:af- the "Florida�Cons#ruction i:isn .Lav�r=�Homeownec's
Protection Guide"'prepared by the Florida Department of Agriculture and Consumer Affairs. lf the applicant is someone�,, _
�:...�.�::_:.
other#han the"owner�, (-eertify that�.have abtained a copy of the abave d'escri6ed�d,ocument and promise�in.goa.d`:faith-to,:�,
deiiver it,#a_#he`;owner"-:pcior.;to-commencement. '
CONTRACTOR'S'IOWNER'S AFFIDAV#T:-,I<cerfify that a(1�the infarmation in this application is accura#e and'that ail"work
wt11 be done in compliance with afl applicable�laws regulating construction, zoning-and land�development App(ication.is
hereby made to obtain a ,permEt #o doa-work:�a�d instaNation as indicated. 1 certify that no�work or.,ins#aflat�on has
commenaed prior to issuan'ce of a permit and�that al! work wil! be pertormed to meet-standards of al! laws regulating
construction, County and City codes, zoning regulations, and land development regula#ions-in-�the jurisdiction. I�alsa
certify that i understand fha#the regulations of other government agencies may apply to the intended work, and that it is ;
my responsibifi#y to identify what actions t must take to be in compliance. Such agencies inelude;but are nattimited,;to: ; '
- .�epartment of Environmental='Protection-Cyptess Bayheads,�Wetiand Areas and Environmentaiiy Sensitive �
Lands,Wa#erlWas#ew�ter Treatment.
- Southwest Florida Water Management District We!!s, Cypress .Bayheads, Wetland Areas, Altering ,
Watercourses. -
� - Army Corps af Engineers-Seawails, Dacks;Navigable V1latennrays.
- Department of Hea(fh & Rehabiti#ative Services/Environmentai Health Unit Wells, W.astewater Treatment,
5eptic°Tanks. �
- US Environmental Protection Agency-Asbestos abaternen#. ,.::
- Federal Aviation Authority-Runways.
I understand that�,the fallowing:.restrictions apply to the use of.fill:
- Use of fili is not allowed in Flood Zone"V"unless expressly permitted.
- 1# the .fill .material is ta be used in. Flood Zone °A", it is understood that a drainage p(an addressing a
°compensating volume" will be submitted at time of permifting which is prepared by a prafessional engineer "
licensed by the State of Florida.
- If the fll material is to be used in Flood Zane "Au in connection with a permitted building using stem wall
constructian, I certify that fill will be used anly to fill the area vuithin the stem wall.
- (f fIF�materiai is to .be used in any area, I certify that use af such�fill will not adversely affect adjacent
properties. If use af fil! is found ta adverse(y affec#adjacent properties, the owner may be cited for violating �
the conditions of the building permit issued under the attached permit.appiication, for Iots less than one (1} '
acre which are elevated bjr fill,an engineered drainage plan is requir�e�i. �
If I am the AGEMT FOR THB OWNER,-I promise in good faith to inform the owner of.the perm�tting condi#ions set forth in
#his affidavit prior to commencing construction. I understand that a separate permit may be required for electrica! work, _ `
plumbing, signs, wetis, paols, air conditioning, gas, ar othen installations not speci�cally included in the application. A.. ,
permit issued shall�be canstrusd ta�be a license to proceed wi#h the work and not as authority to violate, cancel, alter, or
set asicle any provisions af ttie�technicai cades, nor shalt issuance af a permit prevent fhe Buifding Official fram thereafter
requiring a correction af errors in plans,construction ar violations of ar�y codes. �Evety permit Issued shatf beeome invaEid
unless the wark authorized by such permit is cammenced withln six months of perm'tt issuanae, or iF wark authorized by
#he permit is suspended or abandoned for.a p.eriod=.of six(6)months after the time the work i�commenced. An extension
may be requested, in wri#ing, from the Buitding Officiai far a period.not to exceed riinety(90) days and wlll demonstrate
just�able cause for the extension. _if work ceases for ninety{90}consecufive days,the job is cansidered abandoned.
WARNING TO OWNER: YOUR FAILURE,TO RECl�RD.A NOTIGE 4F CQMMENCEMENT MAY RESULT tN YOUR I
_ PAYING TWICE'FOR IMPROVEMENTSITO YO'UR:PROPERTY. -IF Y.OU:lNTEND TO�OBTAIN�FINANCING, CONSULT '
V11tTiHY�Ui�`L�NDER"OR�4P➢�A`PTOP2N�Y-�E�002E�R�C�RDING YOI�R N07'ICE:OF=COMMENCEMENT�_ 4 �
Fl4FilDAJURAT{F.S.1't7A3) � ` ' � " -
OWNER OR AGENT CONTRACTOR
Subscribed and swom to{or affirmed)6efore ma this Subscribed and swom fo(or aifirrned)before me this �
by ay
Who islare personally known fo me or has/have produced ' Who Is/are personally known to me or has/have produced
as identificaUan. as identlficaUon.
Notary Pubtic Notary Public
Commisstan Na. Commission IYo.
Narr►e of Notary typed,printed or stamped Mame of tVotary typed,printed or stamped �