HomeMy WebLinkAbout17-18371 - CITY OF ZEPHYRHILLS
5335-8th Street
�-' i (813)780-0020 183�
ELECTRICAL PERMIT '
�,,
�� PERMIT INFORMATION LOCATION INFORMATION � - �
Permit#:18371 Issued: 4/18/2017 Address: 5055 AIRPORT RD
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: 856.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 4/18/2017 Parcel Number: 12-26-21-0000-04900-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: CITY OF ZEPHYRHILLS
Addr: 39111 PATTI RD Address: 5335 8TH ST
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone: (813)752-4188
Work Desc: REPLACE RISER WIRES
. APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIO REQ IRED
ROUGH ELECTRIC
CONSTRUCTION POLE - �
PRE-METER
FINAL -
u� �J`b�+ � , �,�"P�
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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 I
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. li
"Warnin to owner: Your fail r - '
g u e to record a notice of commencement may result in your paying twice for
improvements to your properly. If ou intend to obtain financin consult with our lender or an attorne
Y 9� Y Y
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.
i �
CON RACTOR 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
• Building Department
Date Received ' , phone Contact for Permitting • —
Owner's Name i � � ►"� �61� �( Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � I D � �0 LOT# �
SUBDIVISION PARCEL ID# d1��—�'�'��v G I /������/
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e .. NEW CONSTR e ADD%ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER '
TYPE`OF CONSTRl1CTION Q BLOCK - Q FRAME � STEEL Q
DESCRIPTIOId OF WORK » �Y��' c..Q I S`'Q� ��1�
BUILDING SIZE SQ FOOTAGE�� HEIGHT •
QBUILDING $ VALUATIOIV'OF TOTAL CONSTRUCTION
�L�C-Q
�LECTRICAL $ � AMP SERVICE l U� Q � PROGRESS ENERGY � W.R.E.C.
OPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i � �� I
� �
D;GAS Q ROOFING Q SPECIALTY 0 OTHER ��`
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO �X
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE�. Y%N
Address -License# �
ELEC,TRICIAN GL��, /J COMPANY �v`�v
SIGNATURE `-'� ���'�-� REGISTERED Y/ N FEE CURf2E� Y/N
�aaress` . ,l License# �� dUCO 1 �
� -
PLUBNBERf, COMPANY-
�SIGNATURE ttE��sTeRE� Y�/ N FEE CURRE� Y/N �
Address License# .
, MECHi4NICAL � _ COfWPANY
' SIGNATURE�"' � - REGISTERED ; Y/ N FEE CURRE� , Y/N . , "
Addre'ss��" � "� � � � L:icense.# � ,
... OTHER,.'''�:..• :� .. . , COAA PANY �
�.��=SIGNATURE:�j �� - - - REGISTERED � Y/ N FEE-0URREK Y/N
� �rL. ., . ,. .. , , _
, Address'�, • ' `License# �
�e- . � , .
'RESIDENTIAL;,. Attach-,(2)'PIoE;Plans;'(2)sets-of�Building�Flans;(1)'set of�Energ"yForRis;,R=.O=VN Pe�r'mlt for new.construction,
,- .,��•.;;;��,,�„�,�;;:.Minimum:ten�,(;10)°workingldays;afte�'subiiiittal-`daCe.�Required�onsite,`Gonstruction�Plans,'Stormvirater Plans w/Silt Fence installed,
_-- ` Sanitary:;Facllitiesr��,l�,dumpster;Sife,�Wor,icPeimit for;subdivisions/large p�ojects' �=` - ' �
.:i�GOMMERCIAL Attacfi'(2)�complefe"sets of"Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►itfor new construct(on. -
- Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� ' Sanitary Facilities 8�1 dumpster.Site Work Permit"fo��all-new projects.All commercial requirements must meet compliance
�-:%SIGN;.PERMIT �Attach(2)`sets of�Eng(neered:Flans:��° ;. � �
��Y:-`� - "'""PROPERTY SURVEY,requlred for_aII.NEW construction.. ,
=,'- - - � -
:t�.:... .
:�Di�ections: .s:,:•,���,-t
-- `Fil6:out applicatlon completely.
Qwne�'S�.ConVadtor.sign back of appllcation,notarized
' -lf over$2500;a Notiae:of Commencement is required. (A!C upgrades over$7500)
�'r.:.: ,_,.,.
Agent'(fo�'fh'e�cont�actor)ror�Power,ofAttomey(for'the owner)would tie someone with notarized letter ftom owner authorizing.same
��:`tOVER;THE'COUNTER;PERMIIT�NG. (copy_of contract-requlred) � - �
_°:Re�oofs if shingles Sewers Service Upgrades N/C Fences(PIot/Survey/Footage) ,
� Drivevirays-Mot over'Counter if on public roadways..neeiis ROW
_- — , ..n...<T.�___�;�_�.-�
" .L� .- ..^'`^.t� r. .
NOTICE OF DEED RESTRICTIONS: The undersigned understands,that.this;pyermit may be_subject:to"deed":restricfions";�';.' :
. k: .£ _ . . .� %:,...,-.E tr ,.,,:i:�-..,+:r�.a_:.".: !:_�:.�=.,���.: '.1,�:.a...f:.7,..:. �.�:`."k;..�_��
which;may_be:��more;cestricti,ve:�than�Caunty�:regulations: -Tlie�undecsignecf�.assumes'�respons�tiility�fb��eompliance-witfi'any`��",;`
applicabie desd restrictions. .. . .. ..' �•µ"�:'''A`_'-"�'.'�"'�, ,
UNLlCENSED. CGINTRACTORS AND CC?NTRACTQR RESP-ONSlBlLlTlES:=-� �!f•�tfie-ouvnernhas°hireii'�~aY�contractor or �
cantractors�to undertake work, they._may�b�,required to be�licensed in accordance with state-.and�-lacal.;cegulatiqns:;=lfr!t4ie���=-��
contractor is not iicensed•as required:�y�law, botti.the owner�and`confracfor--;rnay��be�cited}for�;a�'imisdemeanor-violation= ='
under sta4e-law. If the owner or intended;contractor are uncertain as to what licensing,requicem.ents:�may��apply�:for�ithe.���"����
,... ..._.�.. .�: ,
intended wark,they are�advised to coritacf�the'Fasco Caunty Building1nspecfion:D'iyision,-Licensing-5ection at 727:'847- ;
_ . . :_
8009. Fur-thermore, if the owner-has �liireii'�a 'corit"ractor or cont�actors, he~is advised Eo';have the, contractor{s};_sign,,,_,� ;��; _
..,..j.n,:.',"^`)::'w..,1..,,f::
portions of the °contractor Block" of this application.for which.they wri!!.be.responsble.::-!f you,_as`the��owner sign:as<ttie�`'l"':� .
cantractor, that may be an indication fhat he is not properly licensed�and i's not entitled�to permitting pnivileges inr,,Pasco#j. ;;,�v:
County. . , � � :...,r_,.;s.:: �
TRANSPORTATION IMPACTtUTILiTtES IMPACT AND RESOURCE RECOVERY"FfES: The`undersigned.under,stands. „ .,;;
that Transpocta#ian tmpact Fees and Reeourse Recovery Fe.es�{may�.:apply to_the canstrvction.of:new.buildings,.cF�ange.�.of`��=`.`=, _
use in existing bufldirigs,.,or�.ezPansion_of,'.exisfirig buiidings, as specified �n Pasco County Ordinance number 89=07.an� '�.
90-Q7, as arnended. The-under'signed al,so understands,"�that such#ees, as�'rnay„�be Edue, will�tie"identifiec!>at'.ttie=:tiriae>of�:`�'��:,_
permitting. �It"is further understood that'Transportation 1mpact-Fees�and ResourcexRecouery< Fees must be paid prior'to ;
receiving a"certifica#e of occupancy" or��final..power release. If the pcoject does not involve a ceitificate of occupancy.�:or�`��r-- �i
finai power release;�the-fees-must=be.,paid prior to permit issuance.._Furtfiermore, if Pasco.County WaterlSewer.-l.mpac#:: �- ,
fees,are.due,they must,be.paid priar•to�permit'issuance�in�accordance with'applica6le.Pasco.County o�dinances.
CONSTRUCTtQM l�iEN l:AVY{Chapter 713� Florida Statutes,as amended}; if vafuation of wor.k is$2,500:OO..or.more,�l,;=->:
certify that I,, the applicant, have been,.pravided-with a copy�of the "Florida Construction Lien.-Law-=Homeowner'`s���
Pratection Guide°�prepared by tfie floritla Department of Agriculture and Gonsurner.Affairs. !f#he appl4cant is someone ,,,
,..�, ...
other than the uowner",:I:;eertify that.l:have dbtained a copy of the above'`descri6ed'`8ocument and promise�in'goad'::faith`to _ .
de(iver it to-the';owner":prior.'fo..coinmencement. '
C�NTRACTOR'S/OWNER'S AFFtDAUIT:• I:certif,y that ail�the information in this application is accurate and that all"work {
wili be done in compliance with all applicable l'aws regulating construction, zaning�and iand-development. App(ication,is
hereby made to.abtain .a :permit:s#o do.,�:work�and installa#ion as��indicated. i�certi�y that no wark or�lnstallation• has �
commenced prior- to issuancs of a permit antl�that a!! work will be performed to.rrtee# standards of al! laws regulating - �
construction, County and City codes, zoning regulations, and land development'regulations'"in_the jurisdiction: �I also
certify that I understand that the regulatians of other government agenaies may apply to the intended work, and that i#is ,
my responsibility ta idenfify what actions 1 must take to be in compliance. Such agencies include.but are not limi#ed,to:
t - ,Department of Environmentat.Rrotection-Cypress Bayiieads, Wetland Areas and EnvironmentaNy Sensitive
Lands,WaterlWastewater Treatment. °
- Southwest Flarida Water Managemen# District We!!s, Cypress Bayheads, Wetland Areas, ;4ltering �
,
Watercourses. �
- Army Corps of Engineers-Seawalls, Docks, Navigable Vl/aterways. ,
- Department of Heatth 8� Rehabilitative ServiceslEnvironmental Health Unit Wells, Wastewater Treatment,
Septic:Tanks.
- US Environmen#al Protection Agency-Asbestos-abatement. �
- Federa!Aviation_Authority-Runways.
I understand that.the.following.restrictions apply to the use af fill:
- Use of fill is not allawed in Flood Zane"V" unless expressly permitted.
- If fhe fill maferial is to be used in Fload Zone °A", it is understood that a drainage plan addressing a
"compensating vafume°will be submitted at time of permitting which is prepared by a professionai engineer �
licensed by the State of Florida.
- If the fill.materia! is to be used in Flood Zone "A" in connection virith a permitted building using stem wal!
constructian, I certify that fill-will be used only to fil!the area within the stem wall.
- If fill material is to be used in any area, I certify that use af such-fill will not adversely affect adjacent
properties. if use af fill is found to adversely affect adjacenf properties, the owner may be cited for viola#ing
#he sonditions'of-ttie building pecmit issued under the afitached permit_application, far (a#s less than one (1_}
acre which are elevated by fill, an engineered drainage plan is requi�ed.
!f! am the AGENT FOR THE OWNER; ! promise in gaod faith to inform the owner.of.the permitting conditions set forkh in �
this affidavit prior ta commencing construction. .l understand that a separate permit may be required for eleGtrica! wark,
plumbing, signs, wells, paols, air,conditioning,.gas, or oth'e� installations not specifically included in #he apptication. A, ,
permit issued shatt'be construedito`be a license to proceed with the work and not as autharity.to violate, cancel, alter, or
set aside any provisians of tfie'fechniaai codes, nar shall issuance af a permit prevent the Buiiding Clfficiai from #hereafter
req�iring a co�rection_of errors in plans,`canstcuction or violations of�any codes. -Every permit issued sliall beeome invaSid
unless the work authorized by such perrnit is commenced_within.six.manths af permit Issuance, or if work autharized by
the permit is suspended.or abandaned--for:a period�_of six(6) manths after the time the work i�commenced. An ex#ension
may be reques#ed, in writing, from the Building�Official for a period.not-#o exceed ninety (90) days and will demonstrate
jus#i�abte cause for the e�ctension. �if wark ceases for ninety(90)consecutive days,the job is cansidered abandoned. ,
' WARNING TO OWNER:� YOUFt FAILURE TQ RECORQ A NQTlCE 4F CQMMENCEMENT=.MAY�RESULT IN YOUR
PAYING TWICE'FOR;IMpRQVEMENTS�'�O YO.UR_PROPERTY.� IF YOU.INTEND=Tk?QBTAlN���INANCING;Ct7NSU�T __J_
WITH YOUR"t`ENDER OR AN�ATTORNEY BEFORE�RECORDlNG XOUR Ni1TICE d'2E'�CCDNI ENCEII'flENT. � � �
_._ _FLORtdAJURAT(F:S.-117.03}�-� - ---- � . ,
OWNER OR AGENT CONTRACTOR � ` ��
Subscribed and swam to(or affirmed}befare me thts Subscribed and swam to r rmed re me this --
by by
Who is/are personally known to me or has/have produced Who is/are personally kn n to me or has/have produced
as(dentification. as ldentification.
IVatary Public Notary Pubtic
Commission No. Commission No.
Name of tYotary typed,prinfed or stamped Name of Notary iyped,pr3nted or sfamped
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