HomeMy WebLinkAbout17-18333 CITY OF ZEPHYRHILLS
5335-8th Street
�� --- (813)780-0020 333
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18333 Issued: 4/07/2017 Address: 5730 8TH ST
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: 1,800.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 4/07/2017 Parcel Number: 11-26-21-0010-03400-0180
CONTRACTOR INFORMATION - OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: DALE, GEOFFREY& CATRINA
Addr: P.O. BOX 251 Address: 5730 8TH ST
CRYSTAL SPRINGS, FL 33524-0251 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)479-8284
Work Desc: PANEL 200 AMP
APPLICATION FEES
ELECTRICAL FEE 45.00
INSP TION' RE U ',
ROUGH ELECTRIC ,
CONSTRUCTION POLE '
PRE-METER �(l�
FINAL \
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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 I
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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C TRACTOR PER OFFI
PERMIT EXPIRES IN 6 NIONTHS WITHOUT APPROVED INSPECTI�
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of�epfiyPhiils Permit Application Fax-813-780-0021
Bullding Deperlmenl
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� D'ate t2ecelded "
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Owner's Name. 1.I . �te �!-�,{r�c�G�_ p Ph N �
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OWner'9 Ad'dre'ss' .�3� S'�', ,, � ,�� ONineF f'hoite Nurriber .....
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Fee Sli�ipte Tllleholder Nerris ... _ .. . ... ._. ........._ O�vrier PKofle Numhti . �.,. .
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Fee 8lmple Tllleholder Address ,. ..... .. ., .._ .....
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(OBTAINED FNOM PRUpERTY TAI(NOTICE) � "
WORK PROPOSED NEW CdNSTP ADDIALT SIGN
B IN97ALL 8 REpQIR � O � DEMOLISH
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PROPOSED U&E Q SFR OTHER " "
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7YPE OF.CONSTRUCTION • Q BLOCK Q FRAM� � STEE� Q
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- DESCRIPTION OF WORK �V� _ ./:"� R. c(�.. . r10UQi�. _ . _ C.LC.� �J. . .-:" (/v c.�[L��
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QBUILDIN� $ �'' �� VALUATION OF TOTAL CONSTRUGTION
�ECTRICAL $�'"� ' ' AMP SERVICE " � pROGRESS ENERGY � W.p.E.C.
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QPLUMBING $" " `���
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OMECHANICAL $ ' '" " ' '" " VALUATION OF MECHANICAL INSTALLATION �
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QOAS Q ROOFING Q SPECIALTY � OTHER /�j/f� �
FINI9HED FLbOR EL�VATIONS FLOOD ZONE AREA �.�YES NO ��/
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BUILDER COMPANY _ ... _.,..._......_,
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SIONATURE . ...._. .... . . '..... ... aEcisYeaeo Y.f:N... FeecuaaEn " -.YLN_. .
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ELECTRICIAN , '60MPANY ���/.V../L. .._ C.:7 �Z i G�
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�' Addrees ��.7�! , �17U .... ._ .... � . ....� lJcense# �(����Go�.-l•. :
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pLUMBER • COMPANY
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SIGNATURE . . . .. , ., . .RE616TEHED � .Y I N.: ��� FEE CUftREA ��Y/N,. �
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MEGHANIGAL COMP.ANY
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SI(iNATURE aEals7Eaeo _YC,N..: FE�cuaaEn .Y.lN.
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OTHER , COMPANY
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SIGNATUR� _ . .'., ,.. _ . _. :.... . . .. ,� _, REOISTERED Y�/ N� � kEeCuahen ' Y/N�
Address . . ... . ... .. .... . .. License# ._. .. �
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R�SIDENTIAL Allech(2)Plql Plans;(2j sels ot Bulldlrig Pleit�;(t)sel of Eriergy Fortns;R-O-N('Pe�ml(for neu4 construcllon,
Mlnlmum len(10)working deys'afler§ubmltlal tlele. RequlFed onslle,Conslhicllon Plans;"Slormwalet Plens wl.SIII Fenee Inslalled,
Senllery Fecllllle§8 9 dumpster,Slle Nlork Permll tor subdl'vl'slon"sAerge proJecls '
COMMERCIAL Allach(2)complete aets oi Bullding Plens plus e Llfe Safely Page;(1}se(of Eneigy Forms.R-O-W Perinll fo�neW conslrucllon.
Mlnlmum len(10)workfng days atler submlllal dale. Reyulred anslle,Conslruotlon Fleris,Slortiiwaler Plens wl Sllt Fence Inslalled,
Se�Itery.Fecllllles fl 1 dumpsler.Slle Wbrk Permlt for ell neNi proJecls.All cammerclal reqLlreinenls must meel compllsnce
51GN PERMIT Allech(2)aels ol Englneered Pla�s: �
""PROPEFtTY SURVEY requlred for ell NEW consliuc(lon.
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• Dlrecilohe:,
FIII oul ePpllaellon cbmplelely.
Owner 8 Conlrectar'slgn lieck 6f eppllcallon,noleriied.
If ov6r 52600;a Nollcs oi Gdmmencameht le reyulred. (AIO upg�ud9's oveP 57800)
" Agenl(for Ihe conlraclor)or.Povier of Altorney((or Ihe owaer)would be someone wllh nolerfied laper from owner authedzing seme
OVER THE COUNTER P@RMIITING (copy of ca�l�ecl r�qulred)
Reroote If sFiinglas 3ewers Servlce Upgiedes A/C Fences(PIoVSurvey/Footage) -
Drlveways-Nol ov@r Counler If on publlo roedweys..needs ROW , �
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NOTlGE OF DEED F�,ESTRIGTft�NS: The undersigned undersCarids ihat ihis permik�nay be supjeck to"d�ed•'restdcttans"
which may b�more restrictlV�[h�n Counky re.gulations. `!ha�ndersigned assumes responsibiiity for compf ance wlih anY
applieahie dead restriotforts, + �
UNLlGENSED CONTRAGTORS AND Gq�}TtiiA�T¢Ft R�SRdNSiBiLIT1ES: tf the qwner has hired a contrackor or
contractors to undertak�work,they may be required to be Iicensed in accardan��with state and local regulati�ns. tf the
cqntrackor is nat Ilcensed as required by 1a4V,both the owner and contractor may be cited€ar a�rilsdemeanor vlolatian
under sta�e iaw: If ths o.'wner or lntended contr�otar a.re unGe�tain as to what IicenSing reguirem;enls may�pply fas the
intended work,they are advised to contact ihs Pasca County Buitding fnspection pivlsion—ticensing Seciion at 7�7-847- �
8409. Furthermare, {f 4he awnar has hired a eontractor.or co.ntractocs, he !s advised to t�ave ths cantract�r(s} sfgn �
poriions of ihe"cbntrackor Rlock"of thls appNcaHon fa�which ttiey wili be responslbis. If you,es the owner sign.�s the
contractor,that may be an in�ication that he Is not praperly Ilcen�ed and ts.na�ent{tied to permitting priYiieges in Pasco
Counfy. _
TRANSPOR3ATION iMPAGTIUTlLlTtES!&�RAGT AND R�,SOURCE R�C(}VEFiY FEES: The undprslgned underslands
that 7ranaportation Impact Fees and Recourse Recovery Feas may�pply ko the construcE{on nf new buiidings,change of
use in exis6ng bultdtngs,ar axpanslon of axiating buildings,as�pecified in Pasca County Ordlnance number 89-07 and ,
90-07,as amended, The undarsigned aiso understands,that such faes,a�may be due,wili be id$nUfied at the iime of
permltting. !t ls furlhar understood that Transportation tmpect Fees and Rasource Recavery F�es tnust t�e pald prior ta
recefving a"certifl�ate of occupancy"or final power retease. tf khe pro)ect does not invoive a certtHcate of occupancy or
final power release,the feas musf_be paid prior to permit issuance. Futlhsrmore,!f Pasca Gounty 1Nater!$ewer impact
faes are due,ihey must be pald prlor!o permk lssuance in acci}rdance with appiicable Pasco C4uniy ordlnances:
CqNSTRUG7tLiN 11�N I.AW(Gha�ter 713,Fiorlda Statutes,as am@nded): If valuatlon of worti is$2,6Q0.00 ar more,I
� ceriify that t, the applicant, have be$n provided with a capy of the "Florida Construction Llen Law.—Nomeowner's .
PratecUon G�ide"prepared by the�iofida papartment of Agrlculkure and�onsumer AfFairs. if ihe apptfcant is someone '
oihef than the"awtter",!cerliiy that!have obxafned a copy of the above dQscribe�documant and promise In�ood falth to � '
deiiver it io ihe"ownet'pdor ko corKimenqement,
GON7RAGTOR'$fOWNER'S AFFiDAViT: i certify th�t all the i�formation i�this applRcaEian ls accurate and that'ali work
wiii he dane in compqanca with a{!applEcahla iaws regulatin�construcfion,zoqing and land developmenk. ApplicaUon is
hereby made ta obtain a permit to ao work and lnstallation as ipdicated.� ( cert(fy tti�t na wo.rk ar instaliation has
commenced prior ko issuancs af a parm�t and ihat aij wor►c wiil he petfarmed to meek standards pf al! laws re�ulattng
gonstruction, Coun,ry and City codes, zoni}�g regi�la8ons, an� land deye{opm@nt reguiaGons in the jurisdi�tion. ! also
cectify that I unde�st�nd that the regu►aiions of oJhar gouerpCnenk ageneles may appfyi to 1he intanded vroric,and that it is
my responslqility to ldantify What actlans I rpust take to be i�cor�pliance. Such a�enctes include but�re nat limitgd to:
Deparkment of Enyironmental (?rqtection-Gypress 8ayheads,Wetland Areas a�d Enyironmenkaliy Ser�sitlVq
- Land�,Wate�lW@st�Water Treatmant.
- Soutllyrest �.Flgrida INaEer Mari�gement District-li�efls, Cypres� Bayheads, Wetland A.reas; A{te�ing
1tVa#ercourses.
- Army Corps of�ngfneers-Saawails,Docks,Navi�at�le Waterways.
. Department of Health & Rehabiiftativa ServicaslEnyironmenial Heaikh Uqit-Walls, W�stewaEer Trea,tment,
Sepf{G Tanks,
US Environmental P,rotaot{on qgency-Asbesios abatement.
- Federai Avlatlon Authorily-f'tunways.
, I understand that the foNowing res�ricliops app�y to ihe usa af fill. �
- Use of flil!s'qot�Ilowed in Ftood Zone."V"unies�expressly permllked.
- if the fiil materiai ls to�be used In.Flood Zqne "A", it is unde�stood ihat a dralnags plan addr�ssing a
"compens�l{ng volurrae"wii)be submiited at tlme of permittinc�whlch ts prapared 6y a profQss{onai engineer �
licensed by iha Slate of Florida.
- If the flit maieriei is io be used tn�lood Zone"A"In connectlon wklh a permitied 6ufldinc� using stem waU
constructlon,l cerilfy that fitl will pe used oniy lo fip ihe�rea wtthtn the skam wall.
- - if fill maiarial ts lo be used tn any area, k cedify that usa of such flii wiil not adverseiy effack ad]acent , '
prapertles. If use of fitt Is found to adversely affect adJacant propartles,tha awnar may tae cfted for viofating
the condlUpn§of tha bullding permit lssued under th$aitached permit appil�ation,for loks tess Ihan one(1}
� act'a which are sievated by fli,an enginaerad dralnage plan Is requirad.
if i am the AGENT�OR THE QWNER,t promise fn gaoa falth to inform ihe owner of the parmitting canditions set forlh in
ihis a�idav{t prior to commencing consUucU4n, i understand that�sep�rate permit may he required for eieci�ical work,
plumhing,stgns,weAs; q4o4s, afr condit{onin�,gas,or oiher lnsialiatlons nof specifigally lnclyded In tha apQiication. A
permit issued shalt ba eon�tru@d to ba a lice�se ka prpceed wi1M Ihe work•and not as auihortty to vioiate,cancet,alter,.or
set aslde any provislons of the technicai cndes,nnr shall Issuance of a Q§rii�(!pravent#ha auiiding'Qfficiai.from theraafter
regutrinp a correcUon of errors!n p4ans,�o�struction ar vio►afions of any codes. Every permtt tssusd shall beco+n's�nV�lid
unies�the wortc authorized by such p@fmit(s c�mmenned W4lhi�sIx�ianths oF peCmi�issuanca,or ff work au[hprized by
the permit!s suspertdetl.or a6ando�t�d for a period of�six{6j rnonkhs�fter the firr}�tha work!S comt�anced,.Ar�ex�ension
may be requeste�,in wri�irig,Prom tha'eujlding Qfficlaf fd,r a per'tod tiot tp�xceed ninery(90)days and wlll demonstrata
- JUs#lfiaple cause#ar tf�e extensi_on. if work cgases for ninety(90)cansecul{ye d�ys,the job is consSdered�a6aridoned.
WARNIN�iQ QY1►N�R: YO�R€A1�,UR,E Tp REqORQ q NO'F�CE OF Gdi�(�tdfENGE T MAY RESU�.1`tN YQUR
RAYlI�G T1NlC�FOR�M�'fiaV�M�NTS.I'Q YOUR RROAEI�TY, !F XOU INT�N, : ��. IN��NANCiNG,�C3NSU�.T
T OU DE O �E BE (J EGO D G OU O GE � E GE
FLQRI4AJURl(T'IF:,:tj'T. .j�
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OWN�R Oa AGENT GONTRACT4R '
� Supscdped and aworn jqc Hir eFora ina ifiis_ ' SubscKl6e�a d�woen Co €��na3)beEore ms khis" ' ' ' '
by �f .
Wh'o is/are pQrsonetty known ' a 4i hQ'slhava produced o.is e��o�aiiy. o me or hasltiave prod`uca¢' �
as lQanlificaiion. as ldenitflceUan. .
! ___.__.�,_ `
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Notery Puhllc �'"t"""� � _�'""- Nolary Pubtic
,alne�,� �
Commission No. Gomm slon .� r
. '? '�: Commission#FF 150422
�Nama of Nolaiylype8,pdnted ar siamped ' Naine Nola l" b,_ BG@ er , "
'�,��f��R�� BnntloA ihm tNy F91n Inaurerio�690�3A5�7019 '