HomeMy WebLinkAbout17-18716 CITY OF ZEPHYRHILLS
� 5335-8th Street
r (813)780-0020 18716
ELECTRICAL PERMIT
PERMIT INFORMATION ` -- LOCATION INFORMATION �
Permit#:18716 Issued: 8/02/2017 Address: 4738 9TH 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: 1,900.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 8/02/2017 Parcel Number: 14-26-21-0010-02900-0100
CONTRACTOR INFORMATION OWNER INFORMATION
� Name: O'TOOLE ELECTRIC INC Name: JOKEL LIMITED PARTNERSHIP PMB 22
Addr: 8989 FAIRCHILD CT Address: 4377 COMMERCIAL WAY
, NEW PORT RICHEY, FL 34654 SPRING HILL, FL. 34606-1963
Phone: (727)919-6213 Lic: Phone: (352)340-4634
Work Desc: UPGRADE SERVICE DUE TO STORM DAMAGE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
I 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 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.
�� � ����
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER
��r,����� City of Zephyrhill� Permit Application Fax-813-780.0021
8uilding Department
Date Recelved Phone Contact for Permittln
Owner's Name — Owner Phone Number � �
Owner's Address �� D � � Owner Phone Number
Fee Simpls Titleholder Name Owner Phone Number
Fee Simple Titleholder Addres� •
JOB ADDRESS � � c� � LOT# �
SUBDIVISION PARCEL ID#
(OBTdINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEw CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL B REPAIR ,
PROPOSED,USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK ' Q' FRAME � STEEL Q
DESCRIPTION OF WORK �`j� C" G '�
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION�OF TOTAL CONS7RUCTION
QELECTRICAL $ ` � AMP SERVICE �� PROGRESS ENERGY � W.R.E.C.
OPLUMBING $ ��O
�J ��N
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� l��
QGAS Q ROOFING .Q SPECIALTY Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPi4NY�
SIGNATUItE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN � COMPANY O` 1 ' �L—L�\� � C�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s License# '� 'L � '
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CIIRRE� Y/N
Address Ltcense# �
MECHARJICAL COMPANY '
SIGNATURE REGISTERED Y./ N , FEE CURRE� Y/N
Address License#
OTHER �COMPANY
51GMA'TURE REGISTERED Y/ N.. FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2).PIoti.Rlans;(2)sets.ofi�Building`Plans;(1)sef of-Energy�Foims;R-O W Perinit for new conshuction,
Minimum:ten.,(10):working;days-after:submittal date. Requlreil onsite,Constniction-Plans;Stormwater�Pians w/Silt Fence installed,
Sanitary FacUlUes:&�1=dumpster,Site Work;P,ermit for subdiVisionsAarge proJects -
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permitfor new construction. �
_ Mintmum ten(10)wortcing days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permit for all new�projects.All commercial requlrements must meet compllance
SIGN PERMIT Attach(2)sets of Enginee[ed;Plans.
•'••PROPERTY SURVEY reyuired for all NEW construcUon.
Directions: - '
Fill out applicatlon completely.
Owner 8 Contractor sign back of appllcaUon,notarized
If over�2500,a Notice of Commencement i�required. (AIC upgrades over ST500)
" Agent(for the contractor)or Power of Attomey'(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Applicatlon Only)
Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage)
Driv�ways-Not over Counter If on public roadways..needs ROW
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i��t'TI�E OF DE�Q R�STRIC'6'IOA��: Ttte u�d�rslgned��det�tands°;t��t.th6�.np�tmit.may.b�,sub}ecf to"d�ed"r�s#r�attons"
which may be=more-rest�ict(ve.�tha�Coun�'��gulafions: �Tiie ainder�igr�ed�as'sumes=r�sponsitilitty forcomplla�nce wlth a�iy
�pplicable deed r�s�Clatlons.
UML��ENSED CAN'�'RAC'�'URS t4ND CANT�►�7'AR R����1N��B��:i�'8��i: If-ffie owner has �hired a contractor or
co�traetars to saa�dertake wark, Qhey m�y be;c�quire:d.�to-;be--1lcens�d !n a�cordanc�.with �#ate.and�local regulations. If the
contr�cioc ts not t�censed as�r�quit�ed`by I�w� batt� the owraer and cc�ntr�ctorRmajr b��clted for a-m€sderne�n�r vloi�tion
under st�te law. If the owne�or Intended=;co,ntr�ctor-�ere �ancertaln as to wha� Ilcensing.requlrean�nts,anay::apply•for the
intended work�they are advised to+contact the 4��sca County��Ila!!ng Insp�ct4on Dtvlslon--Licensing S�ation a$72?-847-
�Oq9. Furthetmore, if the owner has tilted a caniractor or contractors, he is advised to have t�� canUactor(s) sign
pmrtions af the "contractor 81ock° af this application far vehich they w►ill be re�pon�lbl�. .If.you, a�s.Qhe� awne�`'sign'�i�� 41ie
caa�tr�ctcar, that may be an Indicatio� thaQ he=1s na#.�r�perly 61c�ns�� at�d��s not�nt�tEed to per�itittih� pr�r}leg�� 1� P�sc�
Caunty. '
YRAN�F�CIRT�►TION�IAApie►�C7/U'P��:�TIESrIMPdC�'APIb RE��URCE REC�V�RY•IFEES; The undera0gt�ed unde�sta�ds
tt�at Tran�porta#ian �mpa�t F�s a�►d.Reao.ut�e Recave.ry.Fee�anay`:appiy:tc�the can�#ruc#tc�r�af nev�r buildings,�chang�-of
use Ira existing bulidings, or;expa�sion>af,5�ii1�#in,g'=buildings, �s speclfied.in P'asco County Ordinance raumb�r�9-Q7 and
90-�7. a� �mend�d., The underslgn�d �Iso-urtd�es#and�; ti�����such fees��.,a�,�na�b�•du�,t.w11F:=6e ident�i�d at t�e�t�t��°of•
pero�r�ittlng. It i� furtlier understo�d that Tra��por�at9on lmpac4 F��s �nd Rescaurce R�covery4Fees must be p�id prlor to
reaetvia�g a"cetf�icaQe.of occup�ncy" or flnaF�power.cele��e. :1�=tl�e.pco��ct.�oes no�inv�lve;:a=.ceetl�cate of cscc�p�ncy or
�nat �avwer rete�s�,.the#��s mu�t�e padd priar.tm permit I�suaroce. Fu�Eher�nore;df:Pasco C.ounty VVaterlSeuwer I�rrepact
fees are due,.-they.must be-paid.prior to permit�issyanca-in aecorda�nce wlth�appllcable Pasao'�County ordinanc�s. �
C�MS'�'t�OJCTi�D�t'Lf�N EAVH'{�1iap�er T�3s FI+�NdBt S#8itl1����81��trt�t9d��}: 1f valua,�on+crf�n+Qrk is�2�500.00 ar trcor�, 1
cecRify that I, #he applicant, hav�•been .provid�d wiah a r�py of 4he "Flor3da Constructton Lien Latn�Hameawner's
Prot�ction G�id�" prepared by the Fl�clda Qep��tme�nt�o�P�gric.uit�r� and G���umer�lrs. If#he applic�nt is som�ane
other @ha�the"awne�°, 1 certify tha�i�h�ve.�bta6ned��capy,of.th�:above..de�crlbed dacument-and.proml��in,gpod�aiQh to
deliver!�to the"�avvne�'�prio�to•cor�nrence�nent: �
COOdTl�CT�R'�I��fitWER'�J�►��IDAY11': 1.certi[y.that=a�t.the�l�forartiatlt�n 1�thi�s�plica�ton is ac�urat��nd that all w►�rk
will'b� dc�ne in compliance �vith �II.applicable law� regul�ting construction� z��ing and land developm�r�t. AppEicat�mn ts
hereby anade to abt�in .a permit to d� work:,�nd in�talla#io� a� {ndt�eted;. 't c�rtifjr that no waric�c�r Ins�l�a�tor� has
comrrr�nced prio� to Issuan�e oi � permit and that.alt work wiil b� pertormed to m�et standards of all 9aw� Pegaa6ating�
con�tructlon, Caunty and City cod�s, zaanirag regulattans4 and land devel�p�nenQ c�gc�lakt�a�s�fn the �uri�diction, I al'sa
ce��ity $ha� 1 uc�dee�#��ad th�t the r�guAations of ather gmv�rrtm�nt agencie� m�y�apply�to the int�nded work, and that it 6s
my resp�nsibiliky to id�ntify.wh�t,a�4��n�I musk�Q�ke:M bedn:.a.:�mpllar�ce. S.uch agencl�s Include but-ar�.not IPmited 40:
- D�partm�n# of E�lvironmental�Rrotecti��-GYPres�.���yt�ead�� tt�letland Area�s and Enviroranr�entally Se�s6tive
Lands,We�tedWastewa��r Tr�atment.
- So�athwg�t Florid� Water I�1a�aag�ment: .i�istrict Vlteils, Cypr�ss...Bay��sds; Wettand Areas, Atter3ng
NVaterco�rse�.
- Arany Corps of Engineers-Seawralls, Docks� Navigabl�Water�ray�,
- �ep�rtm��t af Flea�th � f�etaabilit�tive Seivlces�E�vOronrpaentat �lealth Un€t�tt�lls, 1dNast��rater Treatment,
Septic Tan1c�.
- 41S�nvirot�mental Prot�aU�n E�►gency Asb��to��b�tement. �
� Federal Avi�tton.Author04y�ur�ways.
I und�Pstand th2�t the fallowing.resiricQions�pply to th�use of flil:•
- U�e c�f fiEl l�not aElowed�n Fload:�or�e"10"ur�le�s expr�ss�y permift�d.
- If th� �ill mat�Pial Is to be usetl. irr �Fload �on�a. "A", (t is under�tood that � drair�age plan addressing a
"compensating volumep w�l1 be �ubr�lt�ed at#ime��per•.mlftOr�g�hl�t� is prepared by � prt�fe�slona! ec�gin�er
iicen�ed by#he S#�te of'�iorlda.
- If ih� fill materi�l Is to be �sed in �Ivod Zon� "Afl In�conn�c�ion�wlth�a���rmitted bc�ildlr�g using stem waH
cor�s#ruc#ion, l ce�tify th.�f fill:wJt1_b�used on0y.�a flil th�ar�a onrith6�th��stetvy�wa18.
- If fill mat�rlal (s to be used In �rty e�re�, I �cert9fy #h+at .use. of s�ch flll will re�t �dvers�ly a�fect adj�cent
properttes. f�use of flli is#�t�nd to �dversialy:�ffec#adja�nt�proper�les,.#h��wner may be ci�ed for u�ofiating
the condlQ9ons of the bwiYding,permit i�sued under the �t�a�hed �rmtt applica�tlon, far:lots (ess than.or�e (1)
acre which are elevated�by flll,a�engir�eered dr�lroage pl�n i�req�alred.
If�am#F�e�GEN'�'�Ctl�'THE O�P➢�R, f,promdse In good faith to ir�for�n fihe awr�er af#he perrriitting conditions s�t fa�rQh In
this �af�idavtk�pNor to ccrmmencing canshuction. I understand 4hat a-s�parate permit may be requtred for elect�ical wrork,
plur�btng, slgns, wells,.p��ots,_a1r conditic+ning,.��s� ar oQher I�s�al0�ti��ts nok spec�'f�ally inciuded�i� ti�e apptic�tion. .A
pe�mit lssued shaii be corrstn�ed 4ea�e a�Ilcense to-prcace�d�rith the work and not as.auth�rity to,violate, canc�l, alker, or
set aside a�ry pPauistons of the.#echnlcal cc�d�s; rr�r shall Issuance��f a.permft.prevent t��6�ultdirig O#�Ic3a�i irom therea�ter
reqt�lri�g�car�ection af er�or�ir�pt�ns, car�stru�tion or violations a�f any cod�a, �very pemnit issued�hai9 become invalid
unless th� work auiharized by such permit.�ds��o�m�nced•wlthOn sIX months aY'p�rmit laauar�ce, �r if work auth�rized by
th�p��mi4 is susp�nded or.abar�doned-for a:perlod of���C�fB}mor�tF�s.��ter th�#1�n�#he�rnro��t�camm�n�ed. An exte���on
m�y be r�quested, In w�itlrig, f�om the Bt�llding,�3fficia�l for� p�rlod�not to ettceed nir�ty�(90) days ai�d vvili demonstraQe
�ust�iab��c�use for tl�e extens�lo�: If work cease�.f�r ni�ety.�90}cons.ecutiv�:days...the�ob�is considered aba�doned.
IRlARNING TO O{lVNEiR: YC�dil�.�,�I�WRE�TO,R�C.C��tD �1.MO�"MGE�:OF��CONIMEMCEN9�I�T_NG�1Y R�SUl:T 1!d YC�UR
PAY�NG't'1MICE����BM�C)VEME�4TS�T0 YE'�tUI�.P1t't�P��TTt�. IF°Y���11�'�E�ID�TQ���'�''i�IN���l�AR�CIMG;'C�NStt9�.T
11�l�' Y U E. � � �1, T`i'O N � CDR '�, E�- � 1�:� At� ' : ;C :. . _,., . � �
_.. . _ _ "
FLORlRP�JURA��{F,S.t17.03) � -_- - -- _--— _— _ _
01f��Ft OR AOEN1� GOPd'P'RAC'TOI�
Subsalbed and swom to(or��lrmed)before me this Subsal6ed and'�wom to{ot�fflrmed}�bsfors me ttif8
�' •�yY
Who Is/are personally knowm ko.me or has/have produced Who.ls/�re p.eraonallykno�rn�to me orfies/hav��praduced �
as IdentlBc�tlpn. �s(denB�caticn.
Notary Pabllc . Notary PubHc
Commisslon No: Comrnlssion.No.
Nam�oP No@�ry typed,printed or stamped Pd�me oi Plotary ryped,prinNad or�tamped