HomeMy WebLinkAbout17-18694 CITY OF ZEPHYRHILLS
; e_ �. 5335-8th Street
(813)780-0020 18694
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18694 Issued: 7/24/2017 Address: 38361 CR 54
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: 100.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 7/24/2017 Parcel Number: 02-26-21-001B-00000-0050
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PAGE ONE ELECTRIC INC Name: FOTOPOULOS WILLIAM & FILAX, JOHN
Addr: 6424 NORTH 49TH STREET Address: PO BOX 1999
TAMPA, FL. 33610 LAND O LAKES, FL. 34639-1999
Phone: (813)361-9128 Lic: Phone:
Work Desc: REPLACE Ql�lECT �SCG11r2 - ��� o G'
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER `/�
FINAL y i
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply w� lorida 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 properly. 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.
C
ONTRACTOR 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 ; � , -��,� FeX-$�3aso-aa2�
Buitding Department : : .. ' r°-, :� � .
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Date Recelved = Phar�e:Gant�ct�for�Permttt�n � ��'" �• �µ•���•� —�. :� -
Owner's Name Y � 1/� < �Z b(6 Owner Phane Number � � �
Owner's Addresa � � Owner Phone Number �.L'� �� ����
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Fee Slmple Tltleholder-Wama � � � Owner Phane Number � �
Fee Simpl�Titleholder Addrasa
dOB ADDRESS � V 3�1 Cd�.tw �„ �, ,� Ir� � LOT# �_�!�
SUBDIVfS10N ° P.ARCEL 1�# � �
• , _ : (OBTAINEDFROMPROPERTYTIUENOTICE)
WORK PROPOSED �NEW�CONS7'[t;• . ' ° ADDlAi:l' �'C„�" StGN .Q �C} DEMOI;ISH
.. � e.� INSTALL. 8.• : .REPAIR �- ,
PROPQ�E�?USE � SFR�_ � 'COMM ��=� �OTFtER'- � � , , .
' TYPE OF CQNSTRUG'f10N [�J''� �'�BLOGK " [� 'FRAME �� ,STEEG �] �
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DESCRIPTiON OF WORK , '��� 'P�.. ��ti"�- � f " G p th-Vt,.-e c. . � C� .
BUICDIAtG:SEZE� �� , � &t�`FOCiTAGE�; • .,HEIGFiT±.��_---_��
QSUtl.Dif�tG ����. VALUATION"CY��TOTALCOi11S`i�`Rl1Ci'ION :F .' • _
QEl.ECTRICAI. $ RMP SERVICE Q �PROGRESS ENE�2GY [� W.R.E.G. '
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' OPk.UMBING ,.� � ` _ (..� U�5�'y!c�
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�MECFIi4NIGAL $ VALUATION OF;MECHAPtiCAL INSTALLATiUN � �„fj ,�1�j��
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C]c�,s , Q RQOFlf�G _CJ SPECIA4TY, [,�] az���� � �
FIiVISHED FLOOR ELEVATIQNS r�� FI.00D ZONE AREA , ,QYES. NO
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SIGN/�TURE �"���. l� ��,j`� C, R OMRANY"_ �' Y/ N 'FEE CURRE� 7 N'.
Asldreas ' � ' _ •License# �������o���J' �,�
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E�ECTFtICIAIft: ,_, � �}�:�� = �'CONlPANY . ''�
' SIGNATURE �� �"^"����"V' � REGISTERED Y N �E cu►�ae�`-� 'r • G N' '
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Address � t , � license:#�.x f�i_.: t;f��� �-��r_�""' 1
PLUMBER�' � �GOMPA�+lY . . , •. ,. -
SIGNATURE'` �5 � ' � � _' _ � REGISTERED, Y./�N, ��ee Cu�tEn � `Y-/N �
Atldcess . ' � � - ,Ucertse;#'�e:. :.. . � . ' , 1
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MEC!lRPIIGAi: , .+* , - � , " - ` GOMP�ANY _ _ „ :,�, rv
SIGNATURE> � " , � ` " �� - ' � REGIS7ERED�' Y../ N ' FeECURRE�:, Y./�N .
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,COMP�AIY
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z,'� 4� ,'�=_)'�' ,�.w ':4` �"`t�REGIS7EREDk,• Y/ N;..: FEE CURRE� 1(/N.
i�tt�8�ki, '{�3f,�...., .'�>.`;�`r_x9'�:�; wt�:i . .i't' _. - S; .. :x"_ .. , '�C0I1Et8#'�'� ' �
. �. ., i - ' ; a ti�r�,s.:.,,r.:" r: 'r.w,ry" � - ,,,,:.,., '��.,. � ., . . - � ` ;P. ..., � , ' �
RESl�ENTlA�.,,�,.;:`;Ai#acti�"{?)aPfof:Pfa'tis;::{2�}sets<of�Bu11if1ngtPlan§;{1j setafi�En`ergy��ortns;RR=O=W�Peimit for nsw canstruc:#lan. -
, �..�....: �� �,;.��.. . . �.�. ,�:. ,
-:.-;;,�,�.��Minimum�,tep�(�10)r�working�days�aiter;sutimltfal'dafe:�:Required onslte;;Consti�ctlon�Plans;`Stortnwate�Plans=w/Si(t Fence instatled, �
- ` � Sanitary FacjllUes&Ylhdumpster,,Site Woric�Permit;�dr su6divislonsnarge.proJects;,t;,�;a:;;•: '. . :�,.=., ``' s� � ` " �: :�°„ -
CO1VlMERCiA� Attach(3)`cbrsiplete sets`af�8ultiling Ftaiis pius a Ufe Safefy�Page;{1}set of Energy Fotms.R-O-W Permtt#or new constructton.
Minlmum ten(10)working days'afker submittal date. Required oaslte,Constructlan Plans,Stornavsrater Plans w/Silt Fenu�installed, -
Sanitary Facillties&1 dumpster.Site Work Pertnit for all newtprrijacfs..AJI commerclal�[.etlulr.aments.must meet campliance '
::S1GN PEi3MIT Attacti'�2)"s'ets a`f'Engi�eeied;,Plans:, ,_,�-3u>= ,.;�e r :.. . - � �
� N4MpROPERTY SURVEY reguire�d,for aU�N�W construcUbn.., _ �•� - � � ' _ .
-�Y�EHYNO�I�: .wt".s :,L�<d. .. . . _ . ..
� Fill out applicatlon completely. '
�i Owner&Ca�tractor stgn bacic of appl[catton.notar(zed �
� If OYBT�'�"JOO,a Natice of Cammencem�nt is tv�quired. {A/C apgrade�aver�7500j ., . . ,
.. •u:,s:�?^-�^.'r:'_a'.:;
Agent(for the cantraotor)'cr`Power`of Attomey`(fiir the oviiner)�woul'd be'someone with notarized letter from owner autho�izing same I
DitER THE Ct�UN'FER:PERMI'1`'17AlG._...,__,�.{�rontaf-Appticatton�Onty)_. ._._.' � �• � i
Reroofs If shingles Sewers Servlce Upgrades A/C _ Fences(PIoUSurvey/Foatage) _,
-�<-, : .�,,,, .. ,.:;:, .. _ _. - � , ,
Drivswaya-f�tflt over Caunter if on public roadways..6eed"s ROW
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NOTICE OF DEED 6tESTRICTION�: The undecsi ned.under�taa�d��.#h�t;this:,p�rmit�;ma ,be,sub ect.ta d�ed.�restrictions .,.,_.;,.....w_
whlch m�y be�more�:resttictive"th�a County�1regulallons:"°Th'e°undecslgned��assumes~reapc�risltillltq'.for`core�pllanc`e`"v�rith'"any "`'�"' -
appqcable.deed restricttons. ._ _,.:. ._. , �.,. � =� •
d1NLICENSED�COPITRACTORS AND COWTRACTOR itESPCYNSI�ILITI�S: =1f�t�i�����nrner h�s"hlr��d��aµcontractar or
contractors to undertake work; they may;be,;r�qulred:�to�b�;llcensed.ln_accordance.wrlth:state�.and,local:regulaQlons.��If th� � --
ca�ntrac4or t§ not'�I(censed•as�r�qulred.�lay law, boQh the oe+rner amd�contractor=�may be�clted�for�a�ml�ciemeanor vtol�tlon
under state law. If the owrner or Intended:�contcactor;are_;unce�taln as to what'Ilcensing„requlrements;'may.apply'for�the�, �
int�nded v+"rork, they a�e edv9s�d to aontacQ fFie�Pa�co County Bulldfng:`Ori�pectlon�:pfvl�lon_-Llcensing Sectlon et 727-847-
8U09. FurtFi�rmore, If the owrner`has�Filred�a�cont�aclor"or cantractors, he is advlsed to have �tha contractor(s),:slgn , ��
poHlons of.the_�conttector Block' of.thls_appllcatton_for whlch.th�y,.wlll..be,res.ponslble.-.-ff.:you;=as-:the owner'stgn`�as"'tfi�' � ��I
�ntractor, thatm�y be an iradicatlon that''Fie`�Is not`.properly�flceiisea�and��ls not'�ntlt0ed to p�rmltting priulleges fn Pasco ,
County. � • : i .:"
�e�aiv�v viri�i'r°��a-�'9�i::;�°�"'ri it��:T���"�i�i�''�a>On9��°c�:�r'�oe�r'°4c@��c Fu�:m.� �''cd�:�'cr�'e�`'d`'���'u��'� n��iio�ai�u�i'��yio�u iir;i��i�iai�us- -
that Tr�nspoetatlon Impact Fe�s and.Recourse_Recov_ery.Fees may,.�.apply,:.to�the;construction,�of new_buildings,�change��of����'�� �-�'
us� in �xisting bufidings; or:�ezpar�siei�r�of=tiezlstin,g:�:buildings� a,s :�peclfled.In Pasco County Ordlnance number 89=07.and.
90-07, as amended.;:.�he undetslgn�d also;undecstat�ds, that:such fees�::as��mayr'�e�.due;;�.wlll:�tie Identl�l�d at the�-time�of��` ���
p�rr�lt�ing. It Is furtFier under�tood that Transpo�tatlon lrr�pact`Fees �nif��Resource..;RecoverybFees..must be pald prlor to
receEving a-'certlflcate�of�occupa�cy"�or flnal=power.release: :I�-the.proj,�ct:.does::not Irnrolve�a�certff,lcafe of occupancy,=o�-�'�=�'���� �
fln�l power rele�se;the.fe�s,mu�t be"pald�,prlor to.,permit Issuaiice. .Fu�thermo�e;�:lf Pasco�.County�Vl�aQer/Sewer_+Impact� � �
...
fe�s are�due,,.they,:rnust.be,pald:,prlor to.permit':Issuanc�;:In.accordance-vvltF�:applfcatile Pascfl'�County-ordlnances. •
COPI�TRUCTION�LIEN"LAW(Chaptar 713� Flortda 3tatute�,�s�mended): If valuatlon of work Is$2,500.00xor-more, 1-� �� ,
certify th�t I, the -appllcant; have--been proylded �wlth���°�copy of��the �".Florida�-�onstrt,ictton: Llen�.Lav�Homeowner's
Protectlon Gulde" prep�red by the Florlda DepartmenC of Agrlculture and Consunngr�Affairs. Bf the appllcant Is someone� � ,• :.:
. .. , �. ..;,
other ihan the�owner", I certlfy�that.l,;have:optalned-a�copy.of:the�above:aiescrlbed:�docurr�ent.and:;pror�lse�fn=good�fai�h•to ,
del6ver It to..the,bwriec"'.prior<to'comm`encement:''" ' � � �� � � ," ' �
CONTRACYOtt'SlOWldER'S/1�FIDA!/IT: I.cer•tffy..tti:at;all..the�,Inf�rm�tian:Jn�thls�ppllcatlon is �ccura#e and that all�vork
will'be done in complf�nce wlth all.appllcable lawrs regul�Gng ca�nstra�ctlon, zoning and:land�development. Appllcatlon Is
hereby made to� obtaln .a .permit �to:do..:w.ork;.,and Installatlon �s 9ndl�at�d:•:�--'I� certlfy that no wark�or Installation hes
comm�nced prlor to Issuance of a p+armiQ�and that�:ail �ork uvlll be�perForm�d�to me�t standards,:of al! laws regulating�
constructfon, County and Cityr codes, zoning regulatiQns, and Vand development tegulatlons�tn the jur(sd(ctlon.- I also
certlfy that I understand that the regulattons of oQher governreoent ag�ncles may�apply�to the._lntend�d work, and that (t is
my responslbllity to Identify•wh�t,actlons I rnust•take:to be,ln:.corr�pllance:.S.uch;agencles Include but�-are.not Ifmfted to:
- D�partmenY of E�vlronmental�'Protection=Cypr`es�:�Bay6i�ad�,�V(IeHand Areas and EnvtronmenQally Sensitive
Lands,WaterNilasternrater Treatment. �
- Southwest Florida Water Managemer�t: ,:Distrlct-'We01s; Cypr�ss.Y Bay�eads;- 41�etland Are�s, Alterirg
Watercourses. �
- �lrrny Corps of Englne�rs-Seawalls, Docks, Navlgatile Wat�rways.
- Department of,Health::,&_:Relaabllitafive..Senilces/Er�vtronmental=Health Unit=Well.s� Wastewater Treatment,
Septfo Tanks. ' � _
- US Envlroe�mentaE ProQectlon Agency-Asb�stos�bat�sment..
Fed�ral-Avietlon;Authonty=Ru��y�:� .
I understand that-the.folloai�ng:resnlcdons apply'to the use of flll:
- iJse of flll is not allowed In Flood,Zone"V"uroless expressly, permitted.,
- If the �II material Is =to b.e u�ed:,In �Flood Zone. "A", It Is understood`that a dralnage plan addressing a
°compensating volume" wlll be submltted at time of perm6�ing whfch (s prep�red by a profession�l engineer
'Ifce�sed by�the State of floflda: = � � ,
- If ih� flll materlal Is to be used In Flood Zone °A" (n>connec�ion�with:a permltt�d buildlrtg u�ing stem wral9 ,
constructton, I certify�th�t fill�:�alt.•b.e-used only.to.flll the ar��withln:the�ste�n�wall. _
- If �111 maQerlai Es to tie used In any area; ! �certlfy tfiat .us�. of'such'flll wlll not �dv�rse9y aff��t adJacent
pcopertles. If u�e of flll ls found�to adver�aly:�ffeet adJac�nt��propertles,.the own�r may be'clted for vlofat(ng
the condwons�.of the bullding`permlt Issued�under tV�e:atfached_permit:appllcatlon, for:lots�.less�than.one (1)
acre whfcli are elevated�tiy flil, �n englneered dralnage pl�e�Is requlred. .
If I am the:AGENT.�OR 7kE OWNER, l;:promi�e In,good falth Qc�Inform the o,wner of the pecmltting conditlons set forth In
this affidavft'prior to commer�cing constructlon. I under�fand th�twa�separate peronit may be requtred for elect�IcaO.work,
plumbtng,,.sigras, wells„poois;, �Ir condltioning,..gas,.qr.�othec le��tall�tlons not•spec�lcally included�in.the�appNcation. .A
permit Issued shall be conshued to'be���licensei to�proceed wlth the work and not,as.:authority:to:vlolate,�cancel. alter, or
set aslde any provlston� of the technlcal.c+odes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig O�iclal from thereafter �
�equlring a corc�ctlon af;errors=ln.plans;-corisiructlon..or vlolatlon;3 of•any�cod��. .Every•-p�eririlt•�tssued shall�become invalid
unless the work authorized.by such p�rmlt:�ls.co�menced•wlthln sfic.montha of�permlt Issuance, or If vNork authorized by
the pe�mit.is suspended=or;abandoned:for:a�perlod,of�slx�;(�)�mo�itf�s:after the tlme the�work�ls commenced. An extenslon
may be r�quesQed,�In wrrltl�ig,.:irom.th�.Bullding,Offlcfal�6or a peUlod::not,.to exceed'��nlnety(90)�d�ys �nd-�rIIF dennonsfrate
justffiable'cause for:the extension�. (f work-ceases,for n(nety(90)cons.�cutive�day.s�.-th�Job�ts consldered abandoned.
IRI�4RNIRIG TO OIAfNER: YO.UR.:FAILUR,E;,�TO.:R�EC.O.itD;A.�(��TIGE:.AF,�COMMENCE�NI@I�tT.Il�AY:R�SULT IN<�YOUR
PAYING 7WIC,,E;F.OR,IMP#�OVEMEN.�'S;T04Y�O.U��:P�ROPER'i'11':L<I��:YO.U�1�'�EKID:?O���OBTAIN�FINAt�E1NG;'C.ONSUL�
tNETH YOUId L�NDER:ORAN-ATTARNEY�BfFORE�I�Ei:OR�I �'a Ol! � _ ��C 'a '�� `•°' � � E "
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FCORIDA JURAT:(F�S:1.17:03) , , ' , , _ - - . -
OMNNER OR AOEN'd . C06Vi'FSA►CTO • ""�C . �
Subsalb�d and�wom to(or aHirm�d)b�fore me thls �!�4s�c�rl�b�od and'� �to ot atH�r e�)•before . ttilk
bY o. L'L�£L�- ,.by.. ,� '�e�N� .�2�c�.�rPC�/
Who Is/are personally,known to.m�.or�h�s/have.produced Who.ls/are p.e onallyknown•o�r,e;or has/hav��produced. •
aa Id�ntlflaatl4�. ' _��� %/� . as tdentlBcaUon.
Plotery Publlc _ Notary Publlc
Commisslon No.; Com Isslon.No.�� ���3�� . ,
��h� ,�C�. '' ��—�.c�
Name ot Notary typed,pNnted or�t�mped Name oi INotary typed,printed or stamped
L4*M.T7w-.
""' pEBRAELAINE RUFFELL
'• - �,s'�"p���� G�.045343
r.,, ,=Cammission#FG
�:�:�,��'a;Expires�November;7,2020
� �,'��''•�OF f��p�, Bonded Thru Troy Fain In�orance BOD383�7Q19
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