HomeMy WebLinkAbout17-18392 CITY OF ZEPHYRHILLS
5335-8th Street
- (813)780-0020 $392
��� ELECTRICAL PERMIT
•� �� PERMIT INFORMATION LOCATION INFORMATION
Permit#:18392 Issued: 4/20/2017 Address: 39025 MANOR DR LOT 3
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
. Sq. Feet: Est. Value: Book: Page:
Cost: 2,400.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
- Amount Paid: 50.00 Date Paid: 4/20/2017 Parcel Number: 12-26-21-0050-00000-0030
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: HALL SHAWN &AMBER
Addr: 39111 PATTI RD Address: 39025 MANOR DR
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc: SERVICE UPGRADE TO 150 AMPS/ PANEL CHANGE OUT
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
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
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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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
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• Building Department
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Date FtQaeived �
� Phone Contact for Permitting � —
Owner's Name Owner Phone Idumber
Owner's Address �ll,W n �� l� 'Q� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS d�� /�U I� Y`�U� LOT# �
SUBDIVISION: PARCEL ID# ��� —� � J ���� r�,� � ��V
(OBTAIPIED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e . NEW CONSTR e ADD/ALT � SIGN Q � Q DEMOLISH
INSTALL REPAIR
PROP..OSED USE Q SFR Q COMM Q OTHER .
TYPE:'OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � � l GL��. d 0 —�U `�U l��t �J !��'l �
BUILDING SIZE SQ FOOTAGE.� HEIGHT •.
QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�v,��
� LECTRICAL $ �JL � AMP SERVICE /� � PROGRESS ENERGY Q W.R.E.C.
o� i
QPLUMBING $ � 2� 2/
.. ����
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
�� 1
Q,GAS Q ROOFING Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER COMPAIdY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address `License#
� "'ELECTRICIAN • � � COMPANY �� l�C V��C�� G�G. �� �
81GNATURE REGISTERED Y/ N FEE'CURRE� Y/N.
Address ��. �� License# �L�O�U ���
PCUMBER.; COMPANY- '
SIGNATURE REGISTERED Y�/'N FEE CURRE� Y/N
Address License#'
; MECHAIdICAC � COANPANY
'�`SIGNATURE''' ' � REGISTERED Y/ N FEE.CURRE� Y/N : � ,
. � ,
� Aad�ess-� - - u��se.#
:�^."i,�•:' .....
`:. OTHER �''c` > COM,PANY
���SIGNATURE`z><r; .^ REGISTERED � . Y/ N FEE CURRE� Y/N
Address:-: • • - � ' � Cicense# -
'�`�� _ . . - . - . .. ,
�`�RESIDENTIAL;<�:;:�AttacFi�(2)';Plot`�P,lans;''(2)�sets-of�Builtlirig=Plans;T(1•)'set ofEnergy�Forms;R;O-W Permit.for new.construction, .
�_Y, „ �r�::�;:.>:.��-,�,Minimum:;ten;(.10).iniorkingiiJays,afte�§u6mit4al�8ate. Required onsite;GonstnictiomPlans;Sto[mwater Plans w/Silt Fence installed,
. � ,, :.;... , �_ . _.... . .. . .
� ,�' ' ��Sanitary;Facilities.&�1,.dumpster;Sife,Woric Permit for;sutidivisions/large"p�oJects� _ � -' � � -
�.r:COMMERCIAL Attach`"(2•)`complete�sets'of Building Plan§plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constniction.
� Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
"�_ Sanita.ry FaciliUes 8�,1 dumpster.Site,Work Permit fo��all-new�projects.All commercial requirements must meet compliance.
��,�'SIGN.PERMIT `Attacfi"(2)'sets;of;Engineered:Flans.�� • �
��- "'**PROPERTY SURVEY required for.all,NEW.construction._
'`�Directions: • ,¢�..._ � ,
Fill:ouYapplication completely.
- Owne['&,Contraotorsign back of�application,notarized
� `If over$2500;a Notice.of Commencement is required. (AlC upgrades over$7500)
° "' , i4gent'(forfFi'e�conf�actor)�or�Power of'Attomey(for tlie o"wner)would tie someone with notarized letter from owner authorizing.same
�'�.':OVER.THE,COUNTER:PERMIT.TING,.. ..;(copy_of.conVactrequired)� � '
�;Reroofs if shingles ' Sewers SeMce Upgrades A/C Fences(Plot/Suroey/Footage)
' Driveways-Not over Counter if on.public�oadways..needs ROW
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.... _ �-�,.�:-a.�•�.�� � i
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NOTICE.OF DEED RESTRICTIONS: 7he undersigned understands,;that,this;permit may be_subject:to;°¢eed":resfricti��,�'s",_�,r.�.�.
which.°.maybe moce:r.estrictive.rthan,�County�.cegulations �The�untleisigned�assuriies cespansibiHty for'�cariipliancc�'v�rith arty�`" `�'
applicable deed restrictions. ; .:��:::r=;'-���::-.�=�:_;:�:;
UNUCEN$ED. CQNTRACTQRS AND GOIVTRAGTQR RESPQNStBii:ITtES:: =1f�t�ie�owrierµFiasry�hired��:a��contractor or �
contractors ta undertake work, they.,may be}required to be�licensed in accordance with state.and�ibcal-.;regulatioms:.M-1f:,tfi-e�i,=�=" ;
cantractor.is-not licensed�as requirecl'li.y."law, botii.the awner:and�contractot-=rriay�be�-cited:�for,a�misderrieanor violation:� `:� _
under state law. If the owner or intentied.,cpntractor are uncertain as ta what licensing requir.em.ents��rnay��apply,for<,�the,.�.;4�;;;.
�,_,.; .�. ... :, . .._ �
intended wor.k,.they are advised to contact`the Pasco County Building'Inspection�Division.-Licensing Section aY727.=847= �:, -�
8fl09. Furthermore, if the owr�er lias`�tiired"a -corit�actor or cant�acto�s, he lis actvised to=fhave the contrac#or{s},�.sign _r,��;�•:,.
portions of the "contractor Block" of this application for which.they,will be responsible, .��If you,,as�the``owner'�sign.as.tfie` ':w� _
cantractoc, that may be an indication-that he�is not properly licensei!`anc! is not'entitled�to permitting�privileges,-:in,.,Fasco; ,.,>.,?� .
Caunty. . .. :� . .. .::r,:.. ;_ �
TW4NSPORTATION IMPAC7/UTILITIES IMPACT AND RESOURCE RECOVERY�EES: The undersigned undecstands_ ,. ��` ;
I' that Transportation Impact Fees and Recourse Recavery Fees.:may:apply to_the cansfruction.of new;buifd�ngs,.•cFiange-:of'=°:<�����;
use in�existing buildings,..or-,expansion of.exi"sting buildings, as specified in Pasca County Ordinance number 89'=U7._and :�:�
90-07, as amended. The-undersigned atso.yndetstands,�that such#ees, as�maysbe�due, wifl�:be:identified�atroflie���time�.of=°������ �
permitting. �lt�is furtherunderstood that Transportation lmpact Fees-.and Resource'�Recovery. Fees must be paid pr.ior'to. ;� -
receiving a-"certificate of accupancy.° or final,power celease. !f the�roject does not involve,a�ceitificate of occupancy::c�r.�.;���;; .
final power release,,the fees must be.,paid prior to permit issuance. .Furthecmore, .if Pasco;Caunty W,ater/.Sew,.er;=lmpact-:���-;_ ;� �
fees are.due,.tfiey_mus't._be.paid;prior to permit'issuance in accordance with applicable:Pasco Caunty ardinances. � � .
I GQNSTRUGTIBN��:iEN�LAV1►{Chap#er 713, Etarida Statutes,as amended}: If valuat�ort af work is$2,50.0,00_ar more,�l;,:�t�. °
certify that I, the.,applicant, .have, been -pcovided with�-a copy.�,of-the "Florida Constr.wetion, Lien Law--Homeawner's �'
Protection Guide" prepa�ed bp tlie Florida Department of Agriculture and Consumer.Affairs. If the applicant is som�one.. ,
other than the°owner",�I:certify that I_have ob#ained a copy of the above descr'ibed document-and_pramise�in,good�.faitfi��'.to�...
' deliver�it to.the:',',owner".p�ior:to:commencement.
CONTRACTOR'S%OWNER'S AFFtDAVIT:. •I.certif�r that all the infacrnation in this application is accurate and that all"work ,
will be done in compliance with all applicable laws regulating canstruction, zoning�and land�development. Application:is
hereby made ta obtain .a.,pertnit_.to t3o..wark-and installatiort-as' indicated. 1 certiFy thaf na �nrark ar instalfation=has
commenced prior�to is'suance of a permiit and that all work will be performed ta meet standards af all laws regulating
construction, Gounty and City codes, zoning regulations, and land development regulations iri 4he jurisdiction. ��l.also
certify that 1 understand that the regu(ations of other government agencies may apply to#he intended work, and that it is '
my responsibility to identify what actions I must take to be in compliance. Such agencies include:but are not limited,to: :
- ,E=?epartment of Environmental.Rra#ec#ion-Cypress Bayheads, Wetland Areas and Environmen#alty Sensitive
Lands,WaterNVastewater Treatment. �
- Southwest Florida- Water Management District We11s, Cypress� Bayheads, Wetiartd Areas, Altering
Watercourses.
- Army Carps of Engineers-5eav�alls, Docks, Navigable Waterways.
- Department of Heal#h & Rehabilitative Services/Environmenta( Health .Uni#-We(Is, Was,tewater Treafinent, �
Septic_Tanks.
- US Environmental Protectian Agency-Asbestos abatemen#. ,
- Federal Aviation:Authority-Runways.
I understand that the.foAowing.restricfions apply to the use of fill:
- Use of fili is not altowed in Flood Zone"V"unless expressly permitted.
- If the .fill material: is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a
"compensating volume� will be submitted at.#ime of permitting which is prepared by a professional engineer �
licensed by the State of Florida. � -'
- !f the frl! materiat is to be used in Fiood Zane "A" in connection with a permiited building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If �II material is to be used in any area, ! certify that use of such'fill wil! not adversely affect adjacent
prope�fies. If use af fr1E is found #o adversely affect adjacent praperties, the.owner may be cited for violating '
the conditions of,-the building,pecmit issued under the attached permit application, for lats less than one (1)
acre wtiich are elevafed by fill,an engineered drainage plan is required. ;�
If I am the AGENT FOR THE OWNER, I>promise in good faith to inform the owner of_the permitting conditions set forth in �
this affidavit prior fo cammencing const'ruGtian. J! understand that a separate permit may be required far electrEcal work, �
plumbing, signs, weiis, paols, air_conditioning, gas, or otHer instattations nat specifically included in the appiicatian: A. '
permit issued shall'be construed°to�be a license'to proceed with the wark and not as.authority=.ta violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall �ssuanae af a permi#prevent#he Buitding Official from ther.eafter
requiring a correction of errars in plans, aonstruction or vialations of any codes. Every permit issued shall become invalid
unless the work autharized by suctt permit is commenced.within six mon#hs of permit issuance, ar if work autha�ized by
fhe permit is suspended.or abandoned-far.a.peciod=,of.six(6) months after the time the work is commenced. An e�ctension
may be requested, in writing, from the Building Official for a period.not to exceed ninety (9d) days and will demonstrate
justifra6le.cause-for-t�ie-extensian.--If wrark ceases�for-ninety{�0)-consecutive days;tt�e�`ati is cons�dered aban one . �
lNARNING TG'} OWNER:. YOUR FAil.URE,TO RECORD,.A.N�TlGE OF Ct�MMENGENIENT�MAY'RESU[:T IN YOUR
' PAYING TWICE'FOR�IMPROVEMENTS..TO YO.UR:PROPERTY; 1F YOU:�IN'TEND~TO OBTAIN�FINANCING; CONSULT '
WI'PH YOUR I:�NDER OR AN ATTORNEY BEFORE RECQRDING YCTUR NQTIC�QF� MMENCEMENT.
FI.OR[DA JURAT(F.S.117.03} �
OWNER QR AGEN7 CONTRACTQR
Subscribed and swom to(or af�rmed)betore me ttils Subscribed and swam (o affirtned}.befpre me#his -
: y
Y b
Who ls/are personally known to me or has/have produced Wha islare personally nown to me or has/have produced
as lden�fication. as identifica6on.
Notary Public Notary Public
CommPss(on No. Commission No. �
I�ame of Notary typed,printed or stamped Name af Natary typed,p�nted or s#amped