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HomeMy WebLinkAbout16-17455 1 CITY OF ZEPHYRHILLS � 5335-8th Street �/�� (813)780-0020 17,455 �d•' ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17455 Issued: 6/10/2016 Address: 38508 REMORA AVE 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: 1,174.42 Total Fees: 67.50 Subdivision: SLEEPY HOLLOW MHSUB DIV � Amount Paid: 67.50 Date Paid: 10/19/2017 Parcel Number: 02-26-21-0260-00000-080A CONTRACTOR INFORMATION OWNER INFORMATION Name: EAST PASCO ELECTRIC, INC Name: MARSHALL REVOCABLE TRT MARSHAL Addr: 10411 CONNERLY RD Address: PO BOX 44 i DADE CITY, FL. 33525 WEST CHARLESTON, VT. 05872-0044 , Phone: (813)782-8622 Lic: Phone: Work Desc: REPLACE METER POLE AND GROUND SERVICE APPLICATION FEES ELECTRICAL FEE 45.00 ELECTRICAL FEE 22.50 S . NS R UIRED r ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER r L� FINAL � I / 1� �� � I v � l C�'���/ 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. ; CO RACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIItED PROTECT CARD FROM WEATHER �` � 813-780-0020 City of Zephyrhills Permit Application Fax-$13-780-0021 ' Buiiding Department Date Received Phane Gontact for Permitting ) - 'rT�T�'rn-'�����:r-r-E--r-�_. �/� � O��Narrl Ci�FPv un��r��ar nar�ni�r rc�-rnT�� ��v GG 77-fOTODTC'CCS7'1}�{1�F7 Owner Phone Number t'����t�t�pwnet Oddress 3$695 WNS{htG AVE ZEPHYRNILLS pwnQrPhane Number -� Fee Simple Tideholder Name SAMF � Owner Phone Number �� � Fee Simple Titleholder Address SAME JO$ADDRESS ����8�����AVE LOT SO.rJ I.OT# C� i suso�vEs�aN SLEEPY HOLLOW MOBIL pqftCELip# 02-26-21-Q010-05004-0030 � I (OBTAINED FROM PROPER7Y TAX NOTtCEj � . WORK PROPOSED e NEW coN57R 8 ADD/ALT �] SIGN Q Q DEMOLISH INSTALL REPAIR PRQPOSED USE � SFR Q COMM � OTHER � TYPE OF CONSTRUCTION Q BLOCK Q FRAME � S7EEL Q DESCRIPTION OF WORK REFLACE METER POLE I BUI�DING S2E �� SQ FOOTAGE� HEIGHT � QBUILDING r6 � yALUATION OF TOTAL CONSTRUCTION L �ELECTRICAL $ $�� � AMP SERVICE X� PROGRESS ENERGY Q W.R,E.C. / �PLUM8INC, �� ' `1�..3 - '� �`� '' I QMECHRNlCAG $ VALUATIQN pF MECHANICAL INSTALLATIpN � � � ' ' QGAS Q RpOFING Q SPECIAL7Y � OTHER I F]NISHED FCpOR EL�VATI4NS �—� FLOOD ZONE AREA DYES NO i : i i i p 3 : S Fini 5 ii.�ii7613-6 iG iliJ- BUILDER � � COMPANY � /�j� SIGNATURE REGISTERED Y I N FEE CURRE� Y/N ��/J ._ 11 ��Address i icenss# � ' !��j i (r' ELECTRICIAN COMPANY EAST PASCO ELECTRIC, INC SIGNATURE REGtSTERED Y I N FEE CURREA Y 1 N Address 10624 US MWY 301 DAD CITY FL l.icense# EC13003069 � PLUMBER � � COMPANY � SIGNATURE RE6ISTERED Y I N FEE CURRE� Y/N Address License# �_ � MECHANtCA4. � � COMPANY � SIGNATtlRE REC,ISTERED Y I N FEE CUftRER Y J N Address License# �— y� OTHER � � COMPANY —� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address L3cense# �_— � 1111111111111111111111111111111111111111111111111111111111111111111 I REStDENAA� Attach{2)Plot Plans;{2}sets of Building Plans;{])set of Energy Forms;R-q-W Permit for new construction, Minimum ten(10)warking days after submitta[date. Required onsits,Construcfion P2ans,Sto[mwater Plans w!Sitt Fence instalted, � Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsAarge projects � COMMERCIAL Attach(2)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Fprms.R-p-W Pertnit for new construction. � tvtinisttum ten{10}wosicing days after submittai date. Required o�site,Construciion Pians,Stomtwafer Pians wt Siit Fence insta}led, Sanitary Facilities 8 1 dumpster Site Work Permit for aIl new projects.ASI commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ', ""PROPERTY SURVEY required for all NEW construction. , , Directions:� Fiil out application oompletely Owner&ConVactor sign back of applicaGon,notarized If over 52504,a Notice of Commencement'ss required. (A!C upgrades over 57500) ' " Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized lelter from owner authorizing same OVER THE COUNTER PERMIT'fiNG (copy of cpntract required} ' Reroofs if shingles Sewers Service Upgrades AtC Fsnces(PlottSurveytFootage} Driveways-Not over Counter if on public roadways..needs ROW � • . '"NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more res#rictive than County regulatians. The undersigned assumes responsibility for compliance with any app(icab(e deed restrictions UNLICENSED CONTRACTORS AND CONTRACT�R RESPONStBtLi'TlES if the owner has hired a contractor or cantractors to undertake wark, they may be required to be licensed in accardance with state and local regulatians If the cantractor is not licensed as required by law, both the owner and cantractor may be cited for a misdemeanar violation under state !aw If the owner or intended cantractor are uncertain as to what licensing requirements may apply far the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009 Furthermore, if the owner has hired a contractor ar contractars, he is advised to have the cantractor{s} sign portians of the "contractor B1ack" af this appiication for which they wi11 be responsible. If you, as the awner sign as the : � cantractar, that may be an indicatian that he is not properly licensed and is not entitled to permitting privileges in Pasco County . TRANSPORTATION lMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery �ees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing bui(dings, as specified in Pasco County t�rdinance number 89-07 and 90-0%, as amended The undersigned a}so understands, that such fees, as may be due, wil! be identified at the time o# I permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or fina! power release. lf the project does nat involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermare, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. ; CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended). If valuation of wark is $2,50d 00 or more, 1 � certify that I, the app(icant, have been pravided with a copy af the "Flarida Canstruction Lien Law—Hameowner's Protectian Guide" prepared by the Florida Department of Agricu(ture and Consumer Affairs. If the applicant is someone other than the"owner", l certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencemen#. � GONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with ali applicable laws regu(ating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installatian as indicated 1 eertify that no wark or installatian has commenced prior ta issuance of a permit and that all wark vuill be performed�to meet standards of all laws regulating consfiructian, County and Gity cades, zoning regulations, and land development regulations in the jurisdiction 1 also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my respnnsibility to identify what actions I must take to be in compliance Such agencies inc(ude but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and Environmentally Sensifive Lands, Water/Wastewater Treatment. - Southwesf Flarida Water Management District-Wel1s, Cypress Bayheads, Wetland Areas, Rltering Watercaurses. - Army Corps of Engineers-Seawalls, Dacks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Healfh Unit-Wells, Wastewater Treatment, � � Septic Tanks. - US Environmentai Protection Agency-Asbestos abatement. - Federai Aviation Authority-Runways. 1 understand that the fol{owing restrictions apply to the use af fill: - Use of fi!! is not aNawed in Flood Zone"V" unless expressly permitted. - !f the fill material is ta 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 professiona( engineer , licensed by the State of Florida. - lf the fi(( materia( is to be used in Fload Zane "A" in connectian with a permitt�d building using stem wa{I cans#ruction, I certify that fill wi(! be used anly ta fil!the area within the stem wall. - If fill material is to be used in any area, 1 certify that use af such fi!! wil! not adversely affect adjacent properties. !f use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the buifding permit issued under the attached permit application, for lots less than one (1} acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, 1 promise in good faith to inform the awner of the permitting conditions set forth in this affidavit prior to cammencing canstructian I understand that a separate perrr►it may be required for electrica{ work, plumbing, signs, wells, paols, air conditioning, gas, or other installations not specifically included in the application A permit issued shall be construed to be a license to proceed with the work and not as autharity to vialate, cancel, alter, or set aside any provisions of the fiechnical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correctian of errors in pians, constructian ar viola#ions af any codes. Every permit issued shall become inva(id unless the work authorized by such permit is commenced within six manths af permit issuance, or if wark autharized by the permit is suspended or abandoned for a periad af six{6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a periad not to exceed ninety (90) days and will demonstrate justifi�ble cause for the extensian. If work ceases for ninety (90) consecutive days, the job is considered abandoned WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTICE OF CQMMENCEMENT MAY RESUL,T IN YOUR PAYING TWICE FtJR IMPRUVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO t�BTA1N FINANCING, CONSULT WITH YOtIR�ENDER OR AN ATTORNEY BEFORE RECClRDING VOUR NOTIC QF C4MMENCEMENT. � FL4RlDR JURAT{F S.117.43} OWNER OR AGENT COt�iTRACTdR Subscribed and sworn to{or affirmed)before me this Sub cribe and s orn to(or affirmed)before me th' by Z��by J�. �i--L.0 Who isJare personaliy known#o me or hasJhave prodnced Wh �slare personally known to me ar hasthave p duced as identification. as identification. Notary Public Notary Public CommiSsion No. Commission No � Notary Publtc State oi Florida Kace D Surratt Name of fVotary typed,printed or stamped Name of Notaty typed,pri � �p�4Y Commiss�ioe FF 086632 ��, Expkss 41J2612078 -- 1