HomeMy WebLinkAbout17-18372 CITY OF ZEPHYRHILLS
5335-8th Street
�� .~ (813)780-0020 18372 '
�� ELECTRICAL PERMIT �q��
PERMIT INFORMATION ' LOCATION INFORMATION
Permit#:18372 Issued: 4/18/2017 Address: �9�1'9TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
� Sq. Feet: Est. Value: Book: Page:
� Cost: 1,623.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 4/18/2017 Parcel Number: 11-26-21-0010-00700-0040
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: QUENNEVILLE, MARC MICHAEL&ANITA
Addr: 39111 PATTI RD Address: 5941 9TH ST
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone: (813)782-5136
Work Desc: PANEL CHANGE OUT/METER
APPLICATION FEES
ELECTRICAL FEE 45.00 �
�
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER �
FINAL
(,� ��,,7. -F` �;'r(.�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 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.
� ,
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
;,., •°..r � Building Department
Date Received �
Phone Contact for Permitting � —
Owner's Name .Q� L � r Owrner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Ownee Phone Number
Fee Simple Titleholder Address -
JOB ADDRESS � � 'C�� LOT# �
susoivisio� PARCEL ID# l���-� - p/(� �U��ad� r�/�d
(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED . NEW CONSTR ADD/ALT � SIGN Q � Q DEMOLISH
B INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER .
TYPE'.OF COfdSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q
DESCRIPYIOtd OF WORK ` •� �P C% � � ��
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�J��
ELECl'RICAL $ AMP SERVICE /�� PROGRE S NERGY Q W.R.E.C.
a'
�PLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION _ � ���f�v
�
QGAS Q ROOFING Q SPECIALTY 0 OTHER �j�,0�
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO �
BUILDEF2 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address -License#
ELECTRI,CI�,N Gr.�� COMPANY � G�j�
SIGNATURE ����1� REGISTERED Y/ N �FEE'CURRE� /N.
� Address � License# DC�
PCUMBER.; CO�fiPANY-
SIGtdATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address License#
MECHANICAL' COMPANY
SIGNATURE' ' REGISTERED Y/ N FEE CURRE�• ,. Y/N
Address�'` Licens.e.#
;.i, , .. ...
OTHER '�._ COMPANY
; �SIGNATURE=:, : - ` RE�isrERE� Y/ N FEE CURREK Y/N
' AddPess�= � , �` License#
� .=RESIDENTIAL-; Attach';(2)PIof�P.lans;(2):sets of'Building�Plans;(1)set of Energy FoRns;R;O-W Permit for new construction, _
-•_ ;s;:;,-;;�•-.. Minimum:ten;(10)working;days after submittaGdate.�Required�onsite;Construction Plans,Stormuvater Plans w/Silt Fence installed,
- � Sanitary;Facilities;&•,1,.dumpster_Sife,WorlrPer,mitfor;subdivisionsAarge projects` ` "
`� COMMERCIAL Attacli'(2)'coriiplete�sets of Building�Plans�plus a Life Safety Page;(1)set of Energy Forms.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,
' Sanitary Facilities&1 dumpster.,Site Work Permit"fo�all-new.p�ojects.All commercial requirements must meet compliance
-.;SIGPJ'.PERMIY Attach(2)'sets of:Engineered�Plans: -� �
_ - ""'PROPERTY SURVEY required for aII.NEW..construction. ,
`,,Directioris: .-�}:�=-��� -
FiII ouYapplication completely.
' OwneY�Contractorsign back of application,notarized
If over$2500;a Notice:of Commencement is required. (A/C upgrades over$7500)
_ " Agent'(for 4he'con'Vactor)or•Power of Attomey(for tFie owner)would tie someone with notarized letter from owner authorizing same
.`;OVER:THE.COUNTER_PERMI'RING. (copy.of.contractrequired) �
"-Re�oofs•if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
' Driveways-Not over Counter if on public roadways..needs ROW
. --��-�:�:��.� 1
"""' � �
:y.,.,_. �f �
NOTICE OF DEED RESTRlCTIf�NS: The undersigned understands:that:this;permit may be subject�ta";deed"�restriction�° : .
�..�,
� ,
fi.�. -
_.:: ... . ,..:.r- ,.� :u ,: •�. ,.�.r��. �.:.�.. . �a, ;,
which,:may�.be,moce-cestrictive:.than:Caurity;cegulations `1'iief.undersignetltassurnes�tespons�tiil�ty fo`r complian'�e`with any'`-�,,,
applicable:deed restrictions. � _� ;'=�`'�� "
UNLICENSED CCiNTRAC?ORS AND CG?NTRACTOR RESPONSIBIL-ITIES:= �If>fie=owner�has��hirec����a���contractor or
cont�actors�ta undertake work,.�they;may be;cequired_to be:licensed in accordance with.state and:local�;regulatiams�.-lf.-the:��:-:�G
cantractor.is not licensed>as r�quired by'law, both.the o�vner:and'contractor•=may<=6e�-cited=for=a�misdemeanor violatipn� .>;
�,:.
under state law. If fhe owner or in#ended.,cantractor ar� uncertain as to what iicensing requirem.ents:�rnaykapply��for;.the,..�;��',`�,
=.,.,-.- .,.N.,.�, :. :. _. , <�
intended work,..they:are�advised to confacf�the'Pasco Caunty;Building,lnspection`Division=L'icensing:Section af:Z27=847- ;
80Q9. Furthermare, if the owrier-has��iired a` caiit�actor ar cont�actors, he is advised tdt_?have the contractor(s.)��,sign ,.,,,;; ,
portions of the "contractor Block" of this applicatian,for which tbey.wiU be-responsible. .If you,;as:ythe`owner sign as=ttie.�' '<%'_�
contractoc, #hat may be an indication that he is not properly licensed`aiid�is nat entitiec# to�permitting priviteges:in„Rasco:,�. ,>f .
County. _ :.�. .::, ..-��:- �
TRANSPORTATION,IMRAC7/UTILITIES IMPACT AND RESQURCE RECOVERY"FEES: Tlie undersigned undetstands, �ti ,.
.��. �;1�,
#hat Transportatian Impact Fees and Recaurse Recavery Fe.es:may,appty,to the consfiactian,of.,new,,.,b,uildings,.•ciiange;o.f '�';�,:� _�;
use in existing bGilding"s,.or�,expansiorn of.:existing�buildings, as specified in Pasco County Ordinance number 89�07;.an'd •
90-07, as amended. The-undersigned�also untferstands,�that such.fees,-as;rtzay�b.e�.due, will'be;i�enf'�'ied at�tl�'e=tirne�:of`�`'°�;�:
permitting. I# is further understood that Transportation 1mpact Fees-:and Resource`-Recavery.Fees must be paid prior'to "
receiving a "certifcate.of accupancy" or f:nal.,power release. lf the project does nat involve a ceitificate of occupancy::or:�41� �'� .
finalrpower release,,the fees�mus# be.;paid prior,ta permit issuance.,.,Furtfiermore,,if;Pasco,County W,ater/Sewee;=lmpact}:�..�� :; �
fees are due,.tliey must be,paid prior ta:permit°issuanee in accordance with applicable_.Pasco Caunty a�dinances.
CONSTRUCTIOtd��:1�N i::AW{Cfiapter T13, Etarida Statu#es,as amended): If valuation of wor'k is$2,50.O,OOtior mare,,,,i.,..-,�^
certify that I,, the applicant, have been-.pravided •with -a copy�,of, the "Florida Cons#ruction Lien _Law.:�Homeowner"s� �
Protection Guide"�prepa�ed tiy the Florida Department af Agriccilture and Consumer Affa9rs. If the app�ican# is sameone #,,.
o#her than the°owner�,:I eertify.that i_have o6tained a copy of the above tlescri6ed'document and promise-in�goo.d`.faitli`to � ,
deliver_it to the"owner�.p�ior,to:commeneement. ' � � �
Ct3NTRACTCIR'S/CIWNER'S AFFIDAVIT: ;I.certify.that all the information in this application is accurate and that att"wark
will be done in compliance with all applicable laws regulating construction, zoning and�land�_development. Application,.is -
�� hereby made ta obtain:a..permit:to do,.work and insiallation as �indicated. 1 certify #hat no work o� ins`tallation lias �
commenced prior.to issuance of a permit and-that all work will be performed to.mee#-standards of all laws regulating �
construction, Gounty and City codes, zoning regufations, and land development regu#ations irf.:Ehe jurisdlction. _�!.also
certify that I understand that the regu(ations of other government agencies may apply to the in#ended work, and that it is �
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not(imited,;to: ;s
- il Department af Environmen#al. Protectian-Cypress Bay�ieads, Wetland Areas and Environmentalty Sensitive
Lands,WateNWastewater'Treatment. �
- Southwest Fiorida Water Management District Wells; Cypress 8ayheads, Wetland Areas, Altering �
Watercourses. �
- Army Corps of Engineers-SeawraQs, Docks, Navigable Waterways.
- Department of Heaith & Retta6ilitative Sen�ices/Environmental Health Unit Wetls, Wastewater Treatment, -
Septic.TanKs. �
- US Environmental Protection Agency-Asbestas abaternen#. ,
- Federal Aviation Au#hority-Runways.
I understand that#he:foNowing.restricfions appiy to the use of fill:
- Use of fi(I is not atlowed in Flood Zone"V"uniess expressly permifted.
- If the fill material is to be used in. Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer �
licensed by the State of Flarida.
- if the fill material is to be used in Flood Zone "A" in connection with a permifted building using stern wall
construction, I certify that.fill will be used only to fill the area within the stem wall.
- !f �II material is to be used in any area, I certify that use of such fill wi!{ not adversely affeci adjacent
properties. If use of fili is faund to adverse(y affect adjacent properties, #he owner may be cited for violating
#he conditions of the building permit issued under the attached,permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is requited.
I If I am the AGENT FOR TME OWNER; f promise in good faith to inform the owner af,the permitting:conditions set forth in �
' this affidavit prior fo commencing constructiort. ! understand that a separate permit may be required for elec#rical wark, "
p(um6ing, signs, wel(s, paots, air,conditioning, gas, or other installations not specifically included in the application. A. �
permit issued shall`be construed�to"be a license•to�procee�"with the vvark and not as authority.to violate, cancel, alter, or
set aside any provisions of tfie techn�cal codes, nor shall issuance of a permi#prevent the Building flfficial from theceafter
requiring a correction of errors in plans;construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is comrttenced.wifhin six months of permit issuartce, or if work authorized by
the permit is suspended.or abandoned�for.a period.af six(6)`months after the time#he work i�commenced. An extension �
may be requested, in writing, frbm ttie Building-Offi+cial for a period not=to'exceet! ninety {90) days arid wi!! demonstrate
justifiable cause far the extension, ,If work ceases for ninety{90)consecutive days,the job is cansidered abandoned.
WARNlNG`Tt?''OWNER:.� YOUR FAt1.URE Tt� RECORD,�A NOTIGE OF C.OMMENGEIVIENT MAY RESUI:T 1N YOUR
� . PAY(NG T_WI��'FOR=iIUIPROVEMEld�'�,��Y�!!R°l�RO�!I��'�YY,-1Fr YCiUri�i'P'�END='Q'O'OBTAIN'�FINANCING;COIVSUL7`^ � �_
WITH YOUR'LENDER OR AN A7TORNEY BEFORE RECORDING YOUR NQTlC�`QF° OMMENCEMENT.
F�.ORIDA JUF2AT{F.S.117,03} � ' `
OWNER OR AGENT CQNTRACTQR '
Subscribed and'swom to(or affirtned}befare me this Subscribed and swom a or affirtned}before me this �-
by bY
Who tslare personally known to me or haslhave produced � Who istare personaNy knowr�to me or has/have produasd
as Iden�fication. as identiftcation.
Natary Public Nokary Publlc
Commisslon No. Commission No. �
Name of lVotary typed,printed ar stamped tVame of hlotary typed,printed ar stamped
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