HomeMy WebLinkAbout17-18365 .. 4
CITY OF ZEPHYRFIILLS
+ � 5335-8th Street � l
(813)780-0020 18365
ELECTRICAL PERMIT
;'l/
PERMIT INFORMATION LOCATION INFORMATION ' �
Permit#:18365 Issued: 4/17/2017 Address: 39047 SOUTH AVE '
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. �
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: r
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,200.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 4/17/2017 Parcel Number: 12-26-21-0000-04600-0000
CONTRACTOR INFORMATION OWN
Name: PATTIE ELEC. & REFRIGERATION Name: REBECCA���1
Addr: 39111 PATTI RD Addres : 39036 1 ST AVE .
ZEPHYRHILLS, FL. 33540 , -L:3�2-5205
Phone: (813)782-3319 Lic: Phone: (646)388-0419
Work Desc: CHANGE OUT PANEL 200 AMP/REPLACE RISER
- APPLICATION FEES �
ELECTRICAL FEE 50.00
�°G�l ��So
iNSPECTIONS QUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE ,
PRE-METER /f
FINAL
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REINSPECTION FEES:(c)iNith respect to Reinspection fees will omply 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 I�nder 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.
� �����
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
.r== ': ; Building Department
Date Received Phone Contact for Permitting , -
Owner's Name � C�R.. Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name ' Owner Phone Number
Fee Slmple Titleholder Address
�
JOB ADDRESS D 3 ,5 .e 3 /D L ✓� U� LOT# �
SUBDIVISION PARCEL iD# I�'2� �1��Q- OD �''�OIJ
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED B .. NEW CONSTR B ADD/ALT Q SIGiV Q Q DEMOLISH
INSTALL REPAIR
PROP..OSED USE - Q SFR � COMM 0 OTHER '
TYPE'"OF CONSTRUCTION Q BLOCK • Q FRi4ME. 0_ STEEL Q
. t� / `
DESCRIPTION OF WORK y' /S�f� C,v �Q ,C(f K �P (' d�f- ��
BUILDING SIZE SQ FOOTAGE� HEIGHT •
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�'�ttlt-��
�LECTRICAL $ ��U-� c AMP SERVICE,�QD Q�Pf�OGRESS ENERGY Q W.R.E.C.
QPLUMBIfVG - $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ,� /�,�
G I,�✓ /�
/ � �
QGAS Q ROOFING Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
-.BUILDER COMPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address "License# _
ELECTRI,CIAN : � COMPANY �� /`�(�/PC (� d` ��. CG� �Y�' L��
- SIGNATURE � REGISTERED Y/ N �FEE CURRE� Y/N.
h-� , t /
� Address �� � /�c License# �.'��(�O� �Z�P ,
Y . . . �
P.LUMBER.,, COIMPANY
'SIGNATURE <REGISTERED Y�/ N , FEE CURRE� Y/N
Address L(cense#-
MECHi4NICAL COMPANY •
" SIGNATURE•'' � REGISTERED Y/ N FEE CURRE� , Y/N '
Add�ess�� ` - License.#
,s,�i�, , ... , '
` OTHER:>.:``'=: • ,; . ' ` C,OAAPANY
'<�SIGNATURE:i���:=*: :�� _ �- " REGI3TERED Y/ N FEE CURREK , Y/N
. ,�:;:;�. , . , .. . . . '
Address��_ - - - - •• • " '
_. , License#
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' _�RESID,ENTIAL�� "Attach;(2):Plot':P.laris;'(2•)�sets of',Building�Rlan§;(1)'sefof�Ene�gy,Forms;R;O-T(V PeRnitfor new.construcUon, �
:_ -M:�<•;;.:,.::c-�.Minimumaten�(10).working;iiays:after'sutimittal:date.:Required onsite;rtCon`striiction Plans Stormvirater Pl,a'ns w/Silt Fence installed,
,, : ,��.,�.:4..,,. .�• �,,...,,..,.
- Sanita.ry,,Facilities:;&=�1,;dumpster;�Site;Wor,k Permit�foe;subdivisions/large;projects' •" ' �" ` ' �
-;:COMMERCIi4L Attach�(2)�complete�sets of Building Plans�plus a�L'ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
. : Minimum ten(70)working days after submittal.date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
- ' Santtary Facilittes&1 dumpster.Slte Wo[k Permit fo�'all new projects.All commercial requirements.must meet compliance
!��_$IGN;PERMIT �`AtfaoFi(2)sefs:,of;Engineer'ed'Plans.�s.� :�;�� - � � �� .
"•"PROPERTY SURVEY required for..aII.NEW construction.-
��Di�ections: :r•=.s:;_.,_.- =:,; .
'Fill:out:application completely.
- Owner&ConVactorsign back of applfcation,notarized
' °I�f oVer.:$2500;a Notice of.Commencement-Is required. (AIC upgrades over$7500)
'^`:fll-' l.=t.::ti.�-...i':�.4
, AgenY(fo��the>contractor)�or°Power'of.`Attomey(for'the ovirner)would tie someone with notarized letter from owner authorizing same
;;'OVER:THE COUN7'ER�P„ERMIITING; (copy_of-contract<required) - - �
`=>�Re�oofs.if'sFiingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
Drtveways-Not over Counter if on;public roadways.:needs"ROW �
� _ � �
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�'L:...'.�a.s,.^�*L'F.°.°��:F.....a..`�'"�'�� '"e.::.�.aJ
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NBTICE OF DEED RESTRICTIONS: The undersigned understands.that.this;permit may be.subject to°deed",re"strictions"x.'t;z,-,
which,:mayµba:more:r,es#rictiye.�than�Coiurity cegulatio%is;�.#�Tiie�unders�gnedM1a''s'suiiies��re�sponsibtlity`fo�'�compiiance'vrnth any` '
applicabie�deed restrictions. � . _, -�°"y.-a`` :=';`=`��'� ::,
UNLICE(dSED �CONTRACTORS AND COIVTFZACTOR RESPONSIBILl71ES:�-�!f•tfie}aVirrier�has�-hirect'�a='conVactor or .� ';
__
cantractors to undertake work, they may}be reguired to be�(icensed in accordance with.state.anii (ocal;regulations:��If�the:Y�'.`�:
- �,�:.,. _. .� - �,.�.�.__:��.,.�k_ . ,. .,.
contractor is not licensed-as r;equired.lay'iaw;bot}i,the owner:.aiad�'confractor•�may�=be�cited��foc-;a°`miscJemeanorviolation= ;::`,
under state law. �tf the owner or intended..cont[actoc are uncertain as to what ticensing requirern.ents:;ma,'y,�apply for;:tl%e:�='� ;;'
.,. q Y,„i�,�,. ..r S-i ^:,.
intended work,.they:are�advised ta con'tact f�ie'Pasco Courify Buitdin,g�inspection�p'ivision=�icensing�Section�-at 727=$47= :
8049. -Furthermore, if the owner-has fiireii�a corittactar or contractci�s, he�is advised to�ihaveythe;con#ractoc(s};�sign..j=;a;;;.�;
portions of the "contractor Block"of this application.foe which.they wrill.be resp.onsibte:--1f youu, as'the�:owri'er�sign.as�'th�e.'" -_,;,�
contractor, that may be an indication�thaY he�is not�properly licensed�and is nof entitled'to permifttng privileges in;,Pasco�_*t,,�;;:;;
COUllly. _. . " _.. - ii:7,^I�.y^:i +�,�}
TRANSPORTATION-IM�ACTNTIL-ITiES�tMPACT AND RESOURCE RECOVERY FEES:-The undersigned under.stands -,. '��'
that Transportation Impact Fees and Recourse Recovery Fees,may,,apply ta fhe construction qf..new._bui}.tiings,.cFiange`�af���''��:���'
use in existing builiiings, or.,ezpansion:of'existing�buildings, as specified in Pasco County Grdinance number 89=07;arid ��'::�.,
90-07, as amended. The�undersigned also.understands, that such.;,fees,�as';rnay}�b.e.dus, wll!"be�identified�at�it�ex.time�.af�"���:";�;.`
permitting. -1t is further understood that Transportation Impact:Fees=�and Resource�.�Reeovery:Fees must be paid pcior'ta :�'
receiving a "certificate.af-occupancy�-or��final;;power release. If the p,rojecf daes not.involve'a certificate of occupancy�o�.F;�--=��'f�
final power release;..the-fees-must�be.paid prior to pecmit issuance. Furthermare,, if:Pasco Gaunty Water/Sewer,lmpacf::.,� ;:
fees are due,tFiey must be.�paid prior to_-permit"issuance-in'accordance°witb'applica�le..Pasco:County o�dinances. �
CONSTRUCTlON�LIEN-LAW"(Chapter 713; Eiarida Statutes,as amended): If valuatian of wock is$2,500.00�or.more;;�i;:s�M ;
certify that I, the _applicant,__have. been.-provided with--a capy;of #he�"Fforida°�Consteuction �ien. I�aw=Homeowrier's r �•
Protectian Guide°'prepaired by tfie Florida Department of Agriculture and CansumerAffairs. If the applieant is someone,, �
other than the"owner",:I;certify that.l.have d6tained a copy-of the above`descri6ed'�document and.pr.omise�in;gpod`:fai�fi�to`::._, �
deliver.i#to the:"owner"..prio�.to�comrnen'cement. �
CQNTRACTOR'SIOWNER'S AfFiDAU�T:T;I;certify.that a(6 the.informa#ion in fhis application is accurate and that a(I`work
will be done in compliance w�th all applicabfe laws regulating construction, zoning�and land�develapmen#. Applicafion.is
hereby made to,obtain,:a,.permit.,ta�.do„work and installatian as��indicated. I~certify fhaf na-work ar insEaifation=has
cammenced prior'to issuance of"a perriiit and�that a!l work will be pertarmed to meet s#andards of a!! laws regulating �
cons#ruction, County and City codes, zoning regulations, and land development`regulations�in..the jurisdiction. �I�also
certify that i understand that fhe regulations of other government agencies may apply to the intended work, and that it is ,;
my responsibility ta iden#ify what actians I mus#take fo be in compliance. Such agencies inc(ude:bu#are not�limi#ed,to:
- ,,Department af Environrrtental.:Rratectian-Cypress 8ayiieads, Wetland Areas and Ertvironmentaity Sensitive -
Lands,WaterMlastewater Treatment. •
- Sauthwest Florida Water Management District-Wells, Cypress .�ayheads, Wetland Areas, Altering z
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable UVatenivays. ',
- Department of Hea(fh & Rehabiiitative Services/Enviconmental Health Unit Wells, W,as,tewater.Treatment, - ,
Septic°Tanks.
- US Environmental Protection Agency-Asbestos abatement. . '
- Federa!Aviation Authority-Runways. �
I understand that�.the:following�restricfions apply ta the use of�II:
- Use of fill is not allowed in Ftood Zane"V"unless expressly permitted.
- , If the fi(I material is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a
"compensating voiume° wil! be submitted at time of permitting whictt is prepared by a prafessional engin'ser �"
licensed by the State ofFlarida.
- If the fill material is to be used in Flaod Zane "A" in connection with a permitted building using stem wal!
construction, I certify tha#fill will be used only to fill.the area within the.stem wall.
- If fili materiat is ta :be used in any area, 1 certify that use of suah-�fill will not adversely a�fect adjacent
properties. If use of fiii is faund ta adversely affect adjacent properties, the owner may be cited for viala#ing
the con�ftions of:the building permit issued under the atfached permit �pplication, for lots tess than one (1} + :
acre wliich are eleva#ed by fifl, an engineered drainage plan is reqtaited. •
If I am the AGENT FOR THE OWNER,�.! promise in good faith to inform the owner of.#he permitting conditions set forth�n �
this affidavit.prior to commencing const�uction. I understand that a separate permit may be required for electrical work,.
ptumbing, signs, wetls, pools, air conditioning,.gas, or otfi'er installations not speciflcally included ln the application. A.; , .
permit issued shali'.be construed�#a�be a ticens,e�to proceed with #he work and nat as authori#y ta violate,.cancel, alter, or
set aside any provisions of the`fechnicat codes, nor shaq issuance of a permit prevent fhe Bui(ding tJfficial fram #her.eafter .
requiring a correction of errors in plans,:construction.or violations af any�codes. Every permit issued stiall became invaEid
unless the work autharized by such permit ls commenced.within six mon#hs af permit issuance, or if wark au#horizeci by ;
the permit.is suspended or abandaned for a period-.of six(6) mon'ths after the time the work i"s commenced. An extension
may be requested, in'writing, from the Building Officia( for a period.no# to"exceed ninety (90)days and will�demonstrate
justifiabte cause for the eutension. ,if work ceases for ninety(90)consecutive days,the job is considered abandoned:
WARNING�TO OWNER:; YQUR FAILURE TO REGORD,A NO.T,fCE QF C.C?MMENGEMENT�MAY RESULT IN YOUR
PAYING TWICE�'F4R IMPROVEMENTS,.TO YO.UR PROPERTY:: !F YOU::lNTEND'TO�OBTAlN-FlNANCING;CQNSULT ,
WITH YdUR'�LENDER-OR�}AN ATTORNEY BEFORE RECORDING YOUR NCITICE OF�CC)MMENCEIIAENT. ---- —
FtORIDAJURAT{F.S.1'17.03}. ----------.—______� __ __�_ —- --
OWNER OR AGENT COPITRACTOR
I 8ubscribed an bswom to{or affirmed)befare me thts Subscribed and s�wom to(or affirtned}before�me this �
Y Y
� Who ts/are personally known to me or has/have produced � � Wha is/are personally known to me or has/have produced
as tdenBficatian. �� •� as identificaUan.
Notary Public Notary Publ3c
Cammission No. Cammissian No.
fVame of Natary typed,printed of stamped Name af Natary typed,ptinted or stamped
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