HomeMy WebLinkAbout17-18644 CITY OF ZEPHYRHILLS
� , 5335-8th Street
(813)780-0020 18644
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18644 Issued: 7/10/2017 Address: 6116 LINNET ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: MOBILE HOME PARK Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 300.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 7/10/2017 Parcel Number: �7 Z?�d�f00�'--Op 3ot7.Qt?�d
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: SNOKE JEAN S TRUST &DIETERICH PA
Addr: 7141 BERRY RD. Address: 2168 WATERSIDE DR
ZEPHYRHILLS, FL. 33540 CLEARWATER FL 33764-6659
Phone: (813)782-7861 Lic: Phone:
Work Desc: CHANGE OUT POLE
� �PFsL'�IC"ATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL ' �
' I
6
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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, CONTRAC PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
$�saso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
" Building Department
•- �
Date Received , Phone Contact for Permitting � —
Owner's fdame �� 1 (n�I G4 r� Owner Phone Number
Owner's Address ���� �, Iln E'. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �p �� � �j �I'�'�'.� `�� LOT# �
SUBDIVI$ION PARCEL ID#
(08TAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED B _. NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
IiVSTALL REPAIR
� PROPO,SED USE Q SFR Q COMM 0 OTHER
TYPE:OF CONSTRUCTION Q BLOCK •- Q FRAME. 0 STEEL Q
I DESCRIPTION OF WORK C���LI �C' (� V�I � ���
BUILDING SIZE SQ FOOTAGE� HEIGHT •
QBUILDING $ VALUATION"OF TOTAL COIVSTRUCTION
�ELECTRICAL $ �O��� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ I
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q,GAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO I�
�.BUILDER _ COIlAP9�IdY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y 7 N. .
Address �� License#
-'ELECTRICIAN //��,r(�( COMPANY - � S� l.(C(SS � C'�"�(
SIGNATURE v° �� � I�� REGISTERED Y/ N �FEE CURRE� Y/N
ada�ess �`1! ` � ad )�J . 3��� License# �C d C D ZS'�(�, �'
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PCUiNBER.,. _COMPANY= ; ` � "
SIGNATURE � REGISTERED Y.•/�N. _ .FEE CURRE� Y/N
Address License#`
MECHANICAL � � COMPANY
` SIGNATURE'" �� REGISTERED , Y,/ N - " FEE CURRE� , . Y_/N
I Y t ~ .
AdB�ess'�` � License# _
,�;t�. s- ... ,
�OTHER�. .:." _�� ' COMPANI( - �
''SIGNATURE��=,:=, .� - - � � • REGISTERED Y/ N_ FEE CURREK Y/N
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Addressr; '�°�� License#
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�`�RESIDENTIAL^,:,"AtCac6;(2);PlokPlans;`,(2):sefs�of�Buildirig�Plans;(1�)°setof�Ene�gy:Forins;R;O;W,Permit-,fornew.constiuction, -
- _-••-•;Minimum,ten.(10)�workingeday`s'aftersubinitfal:dafe. Required'onsite;Constr`uctionPlans;Sto[mwater�Plans w/Silt Fence installed,
- . -�;`;'�:;3�t{� .
� . �� �� " Sanitary�Facilities:&r1�;dumpster;�Sife;Wor,icPermitfor•.sutidivisions/large;projects ' ' ��+ � �
`�:C.OMMERCIAL Attach'�2 com lete�'seGs`of'Buildiri-Plans� lus a Life Safe Pa e; 1 set of Ener Forms.R-O-W Permit for new construcUon.
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" - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
;;�:; Sanftary Facilitfes&1 dumpster..Site Work Permit"fo�°all-neuv piojects.All commercial requirements must meet compliance
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L:�;.SIGN�PERMIT '�Attacli(2)`se4s,of;Engineered;Flans.�� . -
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�=��- ""'PROPERTY SURVEY required for.all.NEW.construcUon.
- �. . _ .._.,,. � .
;Directions: ��= , .. .:t . �
`= � Fill,.out�application completely. ,
�Owne[&Contractor sign.baok of application,notarized �
,If bver$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
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'°" Agent(foi'tti'e'dontracto�)ror Power'of'Attomey(for`tFie owner)would tie someone with notarized letter from owner authorizing same
'"'OVER�:THE COUNTER PERMITTING, .__. (oopy.of contract-required) ' � �
,:;Reroofs ifsfi(ngles Sewers Service Upgrades A/C Fences(PIoUSuroey/Footage)
! D�Iveways=N over Coun er if '.'. a..w, a..n�,�;:..;.�-t.� , ...�.;,�.�..., r. ,..�M��.4�:a:�.z.:�..:�«:�.___<..e��..>s__.....,.,,,
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NOTiCE OF DEED RESTRtCTIONS: The undersigned„understands:tha$this;permit may be.;subject to y"deed";restrictionws":�'�.j;�,
which�may:be.mare:restrictive:�than�County�regutations:�?�Theundersigned�assumes���espohsibiiitjr'for=com'pirance�rrv�fh�any !
applicatile deed testrictians.- .. _; ��;.�-s,.:��:<,��;��.�_:°.::
UNLlCENSED CONTRAGTQRS AND CQNTRACTCJR RESPONS18fLlTlES:�� 7f�-•ttie`�=owr�er.tias tiired-a��contractor ar '`
contractors ta underkake work, they may::be requir�ed to be licensed�in accordance with state,,and��local;.r,egula#ion's:'.If;tfie�:��'�;:�
contractor is not licensedr as requi�ed 6`y`law; botYi-the owner:and`contraefbr,may<-be�`cited�-forNa��rnisdemeanor violatian� ;�����
under state law. Ifi the owner or intended.cantrac#or are uncertain as ta what.ticensing requirements:irnay�:fapply=foc��the,-;��`'�-;;
.,. :�a,-{cts .� ....,-..,..,r:. � _ r>., ':�;�
intendecf wor:k,..they are�advised to contacf tlie'Pasco Couri#y�Buitding trispection`Division=Licensmg Section•af 727=847� .,
_ .. -. - � �
8Q49. Further�ttore, if the awner has Fiired`a conttactar or cantr�actars, he is acivised to ihave ttie contraetor(s}�:sign,.;,,`;;:;
. ; ;,,... � _:
portions of the "contractor Block"of this-application.far which they.will be resp.onsible::If,you, as ft�e`.owrter'sign.as�'.tkie �<-,�
contractoc, that may be an indication that he is not prope�ly�licensed arid is not entitled to permitting priVileges inn Pasco;,N j:.�
jCounty. _ _ - -- -, ; .: ::-..:�.:_:.� .,.: `.. ,
TRANSPORTATtON iMPACT/.U'TtLiTtES tMPACT AND RESOURCE RECaVERY FEES:�The undersigned under:stands ;,;;,:�
that Transportation Impact Fees and Recourse Recovery Fe.es„may:app(y ta the construction af new;buiiciings,•cFiange�of;=`:'=}>,;i
use �n ex�st�ng buitdings,,cir=expansion=of;.:exlst�rig buildings, as specified in Pasco County Ordinance number 89=07 and "`.' '
90-07, as amended. The undersigned also understands, that such�fees, as�rrtay<;b.e:tlue, wilf be=identi�ed�at�#he_time-of,=�-�`;;
permitting. It is further understood tfiat Transportation Impact�Fees and Resource tRecovery Fees must be.paid.prior.to '�
receiving a "certificate of accupancy" or.finai.,power release. If the-project does not involve a certificate of occupaney:or."�'<��;�:�
final power release,.the fees.must°be:paid prior#o permit issuance. .:FurtFiermare,,.if Pasco;Gounty W,ater/S.ewer,vimpact;a.>-r ;,
fees are due,ttiey mus�be�paid prior to-permit'issuance„in accord`ance with:applicable,Pasco�Caunty ordinances. � 4 � ;�
CONSTRUCTlON-�IEN:LAtt1f{Ghapter 713, Florida$tatutes,as amended}: if valuation of work is$2,.500.00„ar.moce;�;il.;�;� ;
certify that I, the applicant, have .been•.pravided with-a -copy...of ihe "Florida �Canstruction'�Lien Law—�Hameowne�s � �
Pro#ec#ion Guide" prepa�ed by�the Florida Department of Agriculture and Consumer-Affairs. !f the applicant�is someqne,,.,-.-
t. . ....... .:.: .
other than the"owner�,,I.certify�.that,IFhave obtained a copy of-the.above'describetl'�document and promise-in_good:fafth,to :,,,
deiiverit.ta.the';owner"piiarto:cammencement'� '' � � �
, CONTRACTOR'SIOWNER'S AFFIDAV,IT:;;,I:certify_that a11 the iriformation in this application is acaurate and"that all�work ;
wii! be done in compliance with ait appficable�laws regulating consfruction, zoning-and land development. Appiicationis
hereby made to obtain a permit_to do;:wark-and installatian:as=:indicated. t certify that no �rork or instaltatioit-has ,
commenced priar fa issuance of a pe�rriiit and that a!! wark will be performed to_meet.standards of al! laws regulating
construction, County and Ci#y codes, zoning regulatians, and land development'regulations`in.�the jurisdiction. �I�alsa f
certify that i understand that the regulations af other govemment agencies may apply to the intended work, and that it is
my responsibitity to idenfify what actians(must take to be in compliance. Such agencies include but are not�limited to: :
- �,Depa�finen# of Enviranmentaf:'Rrdtection-Cypress Bayiieads, Wefland Areas and Environment�fty Sensitive �
E.ands,WaterNVastewater Treatment. "
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Attering �
Watercourses. �y
- Army Carps of Engineers-Seawatis, Docks, Navigable Vl/aterways. ,
�� - Department of Heaith �& Rehabilita#ive Services/Environmental Heal#h Unit Weils, Wastewater Treatment,
Septic.Tanks. � '
�_____ __ -� US Environmentai Protection_Agencv Asbestos abaiement. -_ - v�___-_ m -_�.__ _.---_-- --- --- , : -
- Federa!Aviation Authority-Runways.
I understand that the following restrictions apply to the use of�II:
- Use of fi(I is not allowed in Flood Zone"V"uNess expressly permitted.
- If the fiii matecial: is to be used in Flood Zone "A", 'it is understood that a drainage plan addressing a
� . , "compensating volume°wil! be submitted at tirrte of permiiting which is prepared by a prafessionai engineer "
�, ' licensed by the State of Florida. �
- If the fill materia! is to be used in Fload Zone "A" in conne�#ion wi#h a permitted building using stem wal!
cons#ruation, I certify that.fill will be used only to fill the area within the.s#em waA.
- lf fill materiai is #o :be used in any area, t cerkify that use of such fill will not adversely affect adjacent
properties. if use of fii( is found ta adversely affect-adjacent proper�ies, the owner may be cited for violating
the conditions of the building permif issued und"er the attached permit.applicat�on, far (o#s iess than one t1) `
acre which are elevated by fil1,an engineered drainage plan is requi"red.
!f I am the AGENT FOR THE QWNER;-I�promise in good faith to inform the owner of.the perrnitting conditions se##orth in
this a�davit prior to commencing construction. I understa�d that a separate permit may be required for electrical work, `
plumbing, signs, wel(s, pools, air conditioning, gas, or�o#Fier'�installations not specifically included in the application: A ,
permit issued shalt`be canstrued to-be a license.to proceed with the work and not as.authority to violate, cancel, alter, or
set aside any provisions bf the technica# codes, nor shall issuance af a permit prevent the Buiiding Official fram thereafter `
requiring a correction of errors in plans;construc#ion or violations of any codes. Every permit issued shall become invat9d
unless the work authorized by such permit is commencsd within six months of permit issuance, or if work aufharized by
the permit is suspended or abandonedfor a,period-.qf six(6) months after the time the work is�cammenced. An e�ctension .
may be requested, in writing, f�om the Building iJfficial for a period not ta exceed ninety(90) days and will demonstrate * .
justi�abte cause for the extensian. 1f work ceases for ninety(90}consecutive days,the job is considered abandoned:
WARNlNG TO OWNER: YOUR FAILURE;1'Q RECORD.A NUTICE OF COMMENCEMENT MAY RESUCT IN Y4UR
PAYING TWICE FOR lMPROVEMENTS TO YOUR:PROPERTY. -!F YQU.INTEND�TO.OBTAfN�PINANCING,CONSULT___.. _
WITH YpUR`LENDER OR�AN A7TCIRNEY BEFOIt��REC��RDING-Y4UR-NOTOC��U�COIIflYiIiENCEflAENT. �
--FLOf2lDA JtlRAT�(F.S:tiT.03) . .
OWNER OR AGENT ,L`��� CQNTRACTOR 4`1J1l.I.ldi�f Y�GT�fi.J�C�!
8ub cribed and sworrt�t ar affirmed) re me�,this -/ Subscribe and s omv�r fo or affi-�� efore�m this
y D by ����'Yf�. ��Ct1.Q�?�"'U � /D�1� by b�-Q(}Z -1,�'3�C.1�� •
W o is/are personally known to me or has/h produaed ` Who is/are personally known ta me or has produced
as iden88ca#on. as identification.
� (.,�t ra'/� Notary Pubfic ' 'Notary Pubtic
Commiss'son(Vo. ��� ��'S r � Com^�ission No. L� � ��
%�� ' �'� ( 1S �c,� � �i.� �.
Na N
�iY'w�•. DEBRA EfAINE RUFFELL , :'�:':�4�,.,, DEBRA ElA1NE RllFFFi.l.
:'� �,_Commissfon#6G Q45343 :'�r '�;�Commission#GG 045343
_"�,��o;:Expires November 7 2020 `.r' •'Expires November 7 2020 __
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