HomeMy WebLinkAbout17-18510 CITY OF ZEPHYRHILLS
; - �= 5335-8th Street
(813)780-0020 18510
ELECTRICAL PERMIT
PERMIT INFORMATION - LOCATION INFORMATION -
Permit#:18510 Issued: Address: 4623 FUNK 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: 40.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 5/23/2017 Parcel Number: 14-26-21-0270-00000-0470
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: ARENAS GUSTAVO.ADQLFO
Addr: Address: 4623 FUNK ST �
ZEPHYRHILLS FL 33542-7812
Phone: Lic: Phone:
Work Desc: MISC ELECTRIC PERMIT
APPLICATION.FEES
ELECTRICAL FEE 40.00 )
� � ; 6 - `�.�
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INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �
PRE-METER 5l� -
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 properly. If you intend to.obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
I Complete Plans, Specifications and Fee Must Accompany Application. All work shall be perFormed in accordance with City
Codes and Ordinances.
C OR PER OFFI
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813aso-oo�o City af Zephyrhills Permit Application Fax-813-780-ooz�
Building Depattment
: " ' '
Date Recaived � - ph�ne�CanNact�far.Permittln —
Owner's Nama l�1 �C?�V�7 �'Q,�1 Owner Pha�ss Number
Owner's Address �— r�� Z. —1 9 v1 .l •Owner Phon�'Number - � �
Fee 5lmple Tltleholder Name �� � Owrner Phane Number �i �
Fee Simple Tltleholder Addre�s
J08 AdDRES3 LOT# C�
SUBDiYiS10N �� � P.AftCEI.tD#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPt}SEd � NEW CONSTR ADDIAIT � S1Gt�f' Q Q DEMOLISH
.e. INSTALL � . REPAIR
RROPOSED::USE [J SFR� Q COMM Q QTHEF2 -
TYPE OF CONSTRUCI'ION � Q BLOCK " Q FRAME [ _] STEEC Q
� � � .
pESCRIPTtON OF WORK (`� ��' -- ��
B[Ftl.D1t�G SI�£ �� � SQ FOOTAGE " HEtGHT ..
�_,�. - .. "�� _
���«'���fi' � I"' 1 VALUATION'.CiF'i'O`fALCONS'i'RUC1'IOiV • '
L__�._-..._ J
QEI.ECTR1�__ _- $ �h�}� AMP SEF�VICE Q PROGRESS Eh1Ef2GY Q W.R.E.C.
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�PLUMBINC3 •� � �
QMECNANIGAI ($� � YALUATlON OF;MECHANICAL INS7ALLP►TIOi�! �
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[�GAS , Q RCIOFING .[,� SFECIAITY � OTHER .
FINISMED FLOOR ELEVATIONS r�� FLOOD ZONE AREA QYES. NO
L
BUI�DER COMP74NY=
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N .
�.ddress � .Clcense# � I
ELECTRICfANr : ,'COMPANY ` _
SIGNATURE � "` REGI3TERED Y/ N ��`cUR�ten= ' 'Y/N
Addre� . , . Llcense#��. � �
P�tJMBER ` • COMPAHY '
SIGNATURE` ' ' � �ecis�RE� Y./-N FEe Cu�ten ` Y/N. �
Address ; license.# � .�
MSCHl�ti�110E0L` - . ' COMF�AFtY '
SIGNATURE � ' " � REGI$TERED Y,/ N . : FEE.CURRE� Y/�N '
Addre�s''� � . � "- - • _, .` Ucense# � . .. I
t�TNER - _ � , CO,MPAHIt �
SIGNATURE �•� ' � � ' ' � � ` �REGI87ERED ' ` Y/ N,..:- ` � FeE cuatt�n Y/N
Addre� ._ ' , . . Llcense#�� �
,...�_ . - " -
RESFDENTIAL,°;t .Attacti(2},PIot.Ftans,.:(2)sets�of Suildliig-Rlans;{1)'set of<Energjr�Fatii�s•,'-I�R-0=W Permlt ftsr new constructton, .� .
- � �Minlmum�:ken•(10);wo_rk(ng,days;aftet:subrtiltfai'date..:R'equired onslte;_Constriicd�on°Rlans;Stoimwate�Plans w7 Sllt Fence installed,
' �"'`Sanftary Facllttles�,&;1:dumpster_Site WotluPermit#or su6divisionsAarge.proJects'` ;: 4 " " ` � '�
COMMEitC1A1. Attach 3`cam lefe sets`af Boltdto Plans �1us a Life Saf�i� Pa e� i set af Ene Fotms.R-O-W Permit far naw cans#ruction.
{ } p g p iy g ,{ ) t�gy
Minfmum ten(10)working days afker submlttal date. Required onsite,Construc#io�Plans,Stortnwater Plans w/Sllt Fence installed,
Sanitary FadltUes�1 dumpster.Site Work Pertnit for all new.proJ'ects.All commercial requi[ements.must meet campllance '
St�N PER14I1T Attach"{2}'sets of'Eiiglneered,,Plaris.; .s -� � � ` �
••"'PROPERTY SURVEY required for,all NEW canshuctlon._
DEractlons: • � - ,
Fill out applicaUon wmpletely.
Owner 8 Contractor sign back of appltcatton,noia�ized '�
tfaver�500.a Motice of Cammencemerr#la reqairecl. {AtC t�pgrades over�T500j
'" Agent(for tkie contractor)or Pbwer of Attoriiey(fqr ttie qwner)would be�someone with�notarized letter from owmer authorizing same
OVER TNE CCIUNTER PERMITTING - �(Fron#af•Appt�cation Only}
Reroofs if shingles Sewers 5ervice Upgrades A/C Fences(PlodSurvey/Footage) _ ,..
Drivewaya-Nat over Caunter if on public roadways..needs ROW
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NO'T10E OF DEED RESTRIC�IONS: The undersigned undetstands:-.#h�t this;.pprmit�.may be.subJect to,°deed"restrictions".... ..::.......�
which may�be�more'resttictive--th�n Counfy��regulatfons:�'�The`undersigned assumes'resp�nsitiility�for compliance wiih any �
appOcable deed'rest�ictions. �-...�;= ...,: .. . ` _ , - _. ,
UNLICENSED CONTRACTORS��A(dD CONTRACTOR RESPONSI�ILITIES: =ff-tlie owner=has��Hir�d��'a�contractcr or
� . . nd•local.re ulatlons;�,-1f�the°;� �-
contractors to undertake v+tork,.they-may:be.;cequir�d:_to.;be:Itcensed.In accordance with.state a , , . _. g ., �..
cor�tractor ts not licensed as`reyulRed=tiy lew, both'`the owner and-conUactor=may be�cited°for'a�°misdemeanor violatton
under state law. If the owner or Interaded�,,contractvr are;,uncertaln as to what Iicenstng,requiremeMs.�:may�:appiy:ior:the � - �
: -..,, ._.
iMended'uvork, tfiey are advised to contact.the�Pas'co County,,�uilding'Inspection Divlslon,-Llcensing Section at T27-847-
8009. FurtFiermore, If the ovvrier'fias�hired�a conhacto� or contractors, he is advlsed to have:the contractor(s),sign _ _
,:,�.,- .r;
portions of the.,"contractor,Block° of.this.application_focwhich.they will..,be re�ponsible.� If-you�=as-the ovimer.sign`�as'the
contractor; that may`be an indication that`fie-ls not.properly'licensed'and°is riot'entftled to perrr�itti'ng privileg�s In Pasco ,
County. .:.. ._. .� .. ..
TRANSPORTATION�IAAPACTIUTILITIES'rIMNAC'�ANb RESOUitCE RECAVERY FE@S:��The unde�sighed understands
. ,.
that Transportation Impact Fees and.Reco.urse Recove.ry_.Fees may',apply�to the construction of new bulldtngs��change~of���`'�"�� '"
use in exisNng buildings, or�expansi�n>of-ezis4ln,g;�buildings, as �pecifled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,.,The undersigned also;uRderstands, that"such fees;r:as�may�be�:due;:will.:be idenftfied at the�'time-<of-�� =�= �"
};.
permittfng. It is furtFier understood that Transportation Impact Fees and Resource:Reco�ery�Fees,_must be patd prior to
rece�ving�a °cerE�icate-of occupanoy"�or flnal•�power:release.. :if�the.proj�ct:.does;.not,Involve:a�.certff,icate of occupancy�or���=�'���= °��'
flnal power-release;.the�.fees:mu�t��be paid p�lor to permit issuance. Ft��tk�ermore;�if:Pasco;_County�Water/Sewer�:lmpact � ..
fees are due,.they must..be..pald-prloc to permit_:Issulance�in.accordance.with,�pplicable_Pasco�.County o�dinances. •
CONSTRUCTION LIEN�LAW�(Chapter 713� Florfida�tatutes�a�amended): (f valuation of work is$2,500.00�or.more,i ����
certify that I, #he applic�nt,_-have;been proyided �with- a��copy� of the�dFlorida� Construction: Llen:.Lav�Homeouvner's
Protection Gutde" prepared by"the'Flo�ida Deparfinent�of Agriculture and Consumer;;Affairs. if the applicant Is someone . ., <.
other than the"owner", I certify that,l have,obtaJned�a�copy;of the,above.-.desc�ltied.�focui�ent:and.pro,mis�;:in,good:.fatth�to - .,�,�
deliver It to:.the:"ownec"-�:p�ior'to�commencement:` � ' � " ` �" -� ' . "
CONTRACTOR'S/OWNER'�AFFIDAVIT: I.ceitKy.th;at�all,.th��,information:,ln�thi.s appllcation is accurate and that ail work
will'be done in campflance with all.applicabie'laws reg�ilating construction, zoning and�land�development. Appitcatlon Is
hereby made to obt�in .a permit.to;do.�work�,,and�insfallation as indtcefed:�: s�l ce�tify that no work>or InsEallation has
commenced prio� to Issuance of a permit"and thaY.all work w011 be pe�formed to meet standards of all laws regula�ing�
conshuction, County and City codes,.zoning regulatians, and land dedelopment regulations�in the.jurisdiction.�� I also
ce�tify that I understand that the regulations of other governrnent agencies may�apply�to the intended,work, and that it is
my responsibility to identify�what.actions I must take:to,be�ln.compliance: ,S.uch agenoles tnclude but�are.not Ilmited to:_��
- Department of E�vironmental��Protection-Cypress"BayFiead�,�Wetlend Areas and Environmentatly Sensitive
Lands,WaterMlastewater Treatment. ,_
- Southwest Fiorida Water Management":I�istrict-Wells; `Cypress. Bayheads; Wetland Areas, Altering
Watercourses. , - � ' � "
- Army Corps of Engineers=Seawalis;`Docks, N�vigablef Waterways.
- Department of,Health:;& ,ReY�abllltative;$ervices/Envir.onmental..-Health Unit Weil.s, Wastewater�Treatment,
Septic Tanks: �� -� ' - � � ... .
- US Environmental Protection Agency-Asbestos abatement. �
Federal•Aviatton�Authority=Runways. - ` -
I understand that.the..following:�restcictions apply to the use of flll:�
- Use of fill is not allowedin Flood:Zone"V"unless expressly permitted.
- If the-.fiU�mate�fal is to b.e used.`in.�Flood Zone. "A", tf. Is understood that a drainage plan addresstng a
°compensating volume" will be submitted at�ime of.permittfng which is prepared by a profess(onal engineer �� '
Iicensed by the.State of Flo�lda. � ��-��� �� ' _ . - �
- If ih� flll materlal.�.is to�be used In Flood �one 'A" in�connectfon�with�a permitted building using stem wrall
� construction, I certify that fUl�:wlll�:be,used only.to.fill the area-wlthin the�stem�wall: •
- If flll material is to be used in any area, I"�cettify that use. of`such flil will not adversely ati�ct adjacent
properties. If use of fill i.s found.to adv�rseEy:�ffect adJaEent�propertles,.the owner may be cited for viofating
the condl#ions_of tHe b�ilding�:permit Is"sued-under the atta,ched_�ermit�applicatlon, for:lots�,less�than one (1)
acre wfiich are elevated�tiy.t111;act engineered dralnage plan is required. • •�
If I am the AGENT�AR THE�<OINIVER; I�.promise in_good,faith to inform the�owner,of the.permitting condftlo�s set forth in
thts affida'vtt�prior to commencing constructlon. �I understand that a,separate permit may be requtred for elecMcal'work. ,
plumbing,..signs, wells,.pools;. air condit(oNng,.gas,_or:othe� Install�tfons not.spec�fically inclu�ed-in.the application. .A �
permit Issued shall be constcued to'be�a�Iicense-to��proceed with tNe wor`k and��not•as:authoNty:to:violate,..cancel; alter, or .
set asfde any provisions of the teclin(cal codes;�nor shall Issuance of a.permit.pcevent the�ulldirig OfFicial from thereafter
requtring�correction af.-eRors In.plans, const"ructlon or violations of any�codes. Every�rpermit�issued sfiall=beaome invalid
unless the work authorized.by s�ach permit:is.commenced•withfn sfX.months of permit Issuance. or tf work authorized by
the permit is suspended or:abandoned�for:a�,period of�six,(B)montiis,:aRe�,the.tirne the�work�is commenced. An extenslon
may be requested, tn writing,,.from�tNe Building,OfFlcial for a p�riod'.not.fo-exceetl'�ninety�(90)days and-will demonstrate
justiflabie cause for.the extenslon�. If work ceases:for ninety.(90)cons.ecutive days...the job�is consfdered aba�doned.
1MARNING TO OINNER: YOUR;�AILWRE�TQ.,REC.Ot�D A:NOTIGE�OF��COMMENCEMENT,NFAY-itESULT IN°YOUR
PAYING TINICE;FOR IMPROVEMENTS;T;O�YOUR:PRAPER7Y. I�°YO.U�IN�END�T�'�OBTIsrIN�FiN�At�E1NG;�CONSULT
VlIITF1 YOUR C.ENDER:OR AN�f�TORNEY�$�FOR��RECOR�IMG_��YOUf�'�NOTiCF'OF�COMI111ENCEf�iENT:'
- --FL-ORIDA JURA�-(F:S:-117.03} _ w__.�;..—._--- - - ------- - =- --- - ` - - -� _ - —--- ----- - - -
OWNER OR A(iENT - CbNTRACTAR -
Subscxlbed and swom to(or aflirtned)before me thls Subsc�lbed and'swom to(or a(flrtned)�befote me ttiig
by �•by -
Who Is/are personally known b.me or haslhave produced Who.is/are p.ersonallyknown•to me or has/have�produced •
as Id"enUflcatlon.�� ' as Identl�cation.
Notary Publlc � Notary Publlc,
Commisslon No: Commisalon.No.
Name of Notary typed,pMnted or stamped Name of Nole�y+typed,prinled or stamped
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