HomeMy WebLinkAbout17-18754 CITY OF ZEPHYRHILLS
a - _ 5335-8th Street
(813)780-0020 18754
ELECTRICAL PERMIT
•-- -- PERMIT INFORMATION � - - - LOCATION INFORMATION � ,
Permit#:18754 Issued: 8/09/2017 Address: 5847 20TH 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: 500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/09/2017 Parcel Number: 11-26-21-0010-04600-0080
CONTRACTOR INFORMATION OWNER INFORMATION
Name: WESLEY CHAPEL ELECTRIC LLC Name: LOKHANDWALA ABBAS
Addr: 25678 INKWOOD PLACE (POBox 7297) Address: 10305 BENEVA DR
WESLEY CHAPEL, FL. 33544 TAMPA FL 33647-3253
Phone: (813)973-1141 Lic: Phone: 813-966-3650
Work Desc: REPLACE METER CAN AND RISER
APPLICATION FEES
ELECTRICAL FEE 40.00
�
��i
«
INSPECTIONS EQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METERf�i '
FINAL r" �
�
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.
C NT CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e��-�eaooao City of Zephyrhills Permit Application Fax-813-780-0021
g ^ BuHding Qepartment
Date Received y
-� Phone-Cantact`for PermittEn —
Owner's�Name O n Owner Phcna Number �J.3 '� �
Owner's Address � G'�� s'� .f Owner Phone Number �— �
Fee Simple TItleHolder Name /�'��1�i" d <�d��i►�:a ' Owner Phone Number � �
Fee Simple Titleholder Addrass ��? 2� S� /' ,.
J08ADDRESS ���� �,�� ST I�' � ' .� LOT# C�] -
$UBDIVISION �� � PARCEL ID# •
- , - (QBTAINED FROM PROPERTY TAX NQTICE)
WQRK PROPt?SED .:,NEW`C4NSTR ADDlALT � S{GN� O- Q DENtO[,tSH
;e. INSTALL 8 REPAIR �
PROPCISED:USE . Q $FR Q GtSMN! ` Q -QTNER
TYPE OF CONSTRUC710N � �•'BLOCK " �] FRAME ��] STEEC 'Q
z
DESCRIPTtON OF WdRiC' �' G�'T$�t q,.c ' � �
BUILDlNG StZ� ���Z� �'SQ FOOTAGE��: ,HEIGHT -
[�BUI�DlNG , � � „ �_"._ .
11 VALUATION`L?F�TOTAL CONSTRUCTION
QE�ECTRIGAI. �>_����-; AMP SERVICE j�iU � PROGFtESS EhtERGY Q W.R.E.C. „
OPLUM9ING $ , '
,,� � '
QMECNANlCAL �� VAIUATtQi+i OF�MECHANICAI.INSTA�IATIt}N
QGAS Q ROQFING [� SRECfRI.TY ��] OTHER
FWISHED FLOOR ELEVATIONS �.�� FLOOD ZONE AREA QYES. NO
BUILDER COMPANY` ' �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N�"
Address � Eicense`# �— �
���cst�c�+i .� � ::c'oMp,ar�r - �S�� �' � C�E'� r
$IGNATURE � REGISTERED Y/ N FEE CURR �� '-Y/N '
AdtlF8s8 , , � .-� � , , r LiCetlSe.#.��" �.�„�,,,�0�`��
P�UMBER ' _ COMP.AHY . . � `� .
SIGNATURE�`' '� � ' ' , REGISTERED - YI�.N>� ,• :FEE CURRE� � -'Y/N �
Address � �icerise,# � , , .�
MECMAI+I1Ci4t:` � � - COMP�,_RNY, • - � � � .
SiGNATURE � � ` ' ` " i�cis7�Reo Y./ N " ��E Cu�� Y./-N - � .
Addre�s� � � - � . � '> � " ' ` � License#f��. . � � .
t?THER - . - , _ _ � . .. _ . . _ .`;GOMPAPIY' . . , � _- , -.- .
SIGNATURE ..�c.` '•'�:' � ' .. .`:�` - ' _ - `REGISTERED� ` - Y/ N:.. FEE CURRE� Y/N
.,., r; ,.N.. ..,:-. ,., -., _ _. . " , .
Atttires� , T .. .; � , � _ � ' License# �� . ,;' "� _ �
E2ES1QENi1Al..,r,.'�;Attactr{2);Plof�Piaa's;.:{2)sefs=af�8u11ii1ngTPlaris,(1)'set'of�En'ergy�Faims;R=t?�UV•'Peririlt for new c�tnstructian, ` " - ` ' , ,
, .�_,.:...=.._,.�. . .
t= �� Minimurr9:ten�(10};woricing;days:after;subrinittal:d`at"e::Requlred onsike;:ConstiucUon'•Plans;`StormwateF'Plan`s w!S11t Fence`lnstalled,
- ���"'SanitaryFactlttl,es:&:'.1.dumpster�Slte�.,W,ork:Perinitfiorsutidlyislons7large:projeots�:. ,:�.,��� � ,. " � � .r,�, , �_
CQMMERC{AL Attach(3)��aimplete�sets-of�Building P1ans plus e�ife Safetyr Rage;.{1}_set of Enetg}t Eorms.R-0 W Pe�rnit for nav+i cansttvctIon.• -
Pdinlmum ten(10)�warking deys aRer sutimtltal date. Requlred onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence lnstalled,
Sanitary Facilitles 8 1 dumpster.Site•Work Permik far all new::projects.E111 commerclal�requlremen�must meet campllance'�f - � �
-SIGN pERMIT Attadi"(2)`set�:of Englneered;PEan's.:,.:..:
. r. . V
, ' ' �_' ......
. ;�_, ., �,.....
NOTICE OF DEED RESTRICTIONS: The undersigned;undergtands;.th�t,this;p@cmit;may_be,subJect,to"aeea".restrictlons_.,.�.,, .__._
which may=be=more=r.estirictive:th��t�County'�regulaf(ons:'7he�.undersigned�`assume`s��responsitiilttj%"for`compliance with any
appNcable deed>restric�lons. •W -.:. ;.-_- -. : . .. , °<-.' _. • , ..- ;- ,. , - _ ' _ . : =�. .. - . . ..
IJNLICENSED•CONTRAGTORS AND CONTRACTOR RESPONSIBILITIES: -;If-tF�e���owner has�°hired��a'conhactvr or
contractors to undertake work,.they may;be::requlred-.to.:be{Ilcensed in.�ccordance.with;state`.and�Iocalrtregulationss-1f�the��-�` - �-
contractor��ts�not Ilcensed��as're�qulredztiy law, b'otFr the�owner and:contracto� may�be��clted-for a�misdemeanor violatton
under state law. If the owner or (ntended>.�contra,ctor;ar,"eµuncertaln,as�.to:-what Ilcensing.requireRnents�mayb:apply�,�for-.tiie`�. • � =•��� �
intended�work, they are advised fo contact tfie;Pasco.County_Bullding vinspectlon.Divlsfon-Llcensing Section at 727-847-
8009. Furthermore, if the ovvrier`Yias"hired�a conUacfor�6r contractors. he is advlsed to have 'the contracto s „sign _.
-K..�.:� . ,..
portions of the °contractor Block° of..this:..application_for which:t�iey,will:,be-r.e.sponslble.: :If.�you;,:as;;lhe oinirier�`slgn'�as'the
contractor, thattnay�be an indication that"'Fie`fs not:properly flcensed�antl"Is"not-entitled',-to perniitting pri�ileges in Pasco
County. . . . v �, . ,�,� .. .. .. _ , :; •_:-,�.._ ..
� , . . _,, .._. ._ e
TRANSPORTATION�IMPie►CTIUTIL{TIES-rMPAC'��ANb RE$OUItCE RECOVERY FEE3:� The undersigned�understands
. . .-W
thatTransportation Impact Fees�and.Recourse Recovery,Fees may��applyto�tf�e�constructlon_of new.buildtngs�=change�of'"`� "�=' ��-
use in existing buildings, oc:�exparisi�n:�of�eiiistin,g��buildings, as spectfled.in P�scv County Or'dinance number 89-07 and:.
90-07, as amended.,.r.,The und,ersigned alsaurtderstands, thait�such fees;-:as�mayrbe•.dne;swill:-�be ideMtfled at the�=time��of��� �r•�� °
permitting. It Is fur'ther understood that Transpo�tation Impact Fees and°Resource_'.Recovery�Fees.must be paid prior to
receiving a 'certificate=of occupancy" or�flnal.powe,r.�.release:� :If-the,proJect.does`not:involveaa��ceKfficate of occupancy�o�:�"��'-="`-`�
flnal power release;_tlie;fees-mu�t'�be"pald,pelor to,permit Issuance. Fti,�thermore;�ff:Pasco,,County'-Water/Sewer;lmpact ::���.•���
.... ;, ;. , :., .. , :..
fees are due,;they,must.be=paid�prior to.permit�,i§suance°:in.�accord_"a_nce with�applicable=:Pasco'.County�o�ilinances. •
CONSTRUC�ION; .L':IEN`Li4YV-(Ciiapter 713� FlorXda Statutes,as,amended):,, If valuation of work is$2�500.00.;or.more�.l- ,,
certify that I, -the.-appilcant,.-have,been :provided��with-a-copy:of'.the�,�"Florida���onstivctton�.Llen.Lawr—Homeowner's
Protection Guide" prepared bythe Flo�ida Department:of Agriculture and ConsumerAffairs. If the applicant is someone �- :;;
.. ._ _ � ,�
other than the'owner", I certffy-that l�,h�ve,obtained�a�copy.of:the�:above:.described.docurr�ent-and;ptorxil�e�`In,good`faith�to .. :.�;
deliver It to.the.'owner::p�ior�to'�ccmmencement:�'''" `, � . _ � � � ----- ' .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I.certify-.that.all th�;information:In`this application is accurate and that all work
will'be done in compliance writh all applicable laws �egulating constructlon, zoning and�land��development. Application is
hereby made to,obtain :a permit;;to,;,do.work�;and;fnstallatlon as indl�efed.�• :I. ceitify fhat no work`°or installation has
commenced prior to Issuance of�a permif�and that'.ali work will be pertormed to meet-standards-of:all laws regulating-
constructlon, County and City codes, zoning regulatians� and land development tegulations=ln the,Jurisdtction: I��al'so�
certify that I understand that the regulatlons of other government agencles may�apply�to the�intended work, and that it is
my responsibility to identlfy•what.acttons 1 must take:to be<In:.c:ompllar�cs:,.S.uch agencies include-but-are.not Ilmited to:.
- Department of Erlvlronmental>�Pi�otection-Cyp�ess.`Beyhead�, WeNand Areas and Envlronmentally Sensttive
Lands�WaterMlastewater Treatment. ,_ ..
- Southwest Florida Water Management .Distrfct Wells, Cypress. Bay.heads;- Wetland' Areas, Altering
Watercourses.
- Army Corps of Englneers-Seawalls,Docks, lVavlgatile Waterways.
- Department_of.Health�'8 .Rehabl8tative $enilces/EnvironmenCal Health Unit Well.s,.�Wastewater�Treatment,
Se�tic Tanks.. ' � � �- � :
- US Envlranmental Protectlon Agency-Asbestos abatement. _ �
Federal Avletlon:Authorlty-Runways.
I understand that the.following:restrlctlons apply to the use of flll:
- Use of fill is not allowed In°;Flood;Zone"V"unless expressly permltted.
- If the �flll materiak is to be used-`In :Floo�i Zone. "A", It. Is understood�that a dralnage plan addresstng a
°compensattng volume°will be submltted at,#ime of petmltting wh(ch is prepared by a professfonal engtneer
Ilcensed by�he State of'Flo�lda: � � _ - ' -' '
- If ih� flll materlal�.ls�to be:us_ed In Flood �one "A" In�connec�ion�vulth:a pecmltted buildtng using stem wall
� construc�lon., I cer8fy,that.fUl�:wlll:b.e�used only.to#111 the area wlthln�the�stem wall: ,
- If�fl�ll materlal Is�to be used In any a�ea, I��certffy that .use of such flll wlll not adversely affect adjacent
' propertles. If use of flll Is found to adversely:�ffect adJaEent�propertie5�.the owner may be clted for vlofating
� the condl#tons of the bullding;permlt Issued�under the'atEacFied„permlt appllcatlon,.for�lots�less�than:one (1)
acre whlch are elevated�tiy illl;an englneered dralnage plan is requtred. •
If 1 am the AGENT FOR THE AIMNER;,I;promise In good falth to Inform the�owner of the permttting condftlons set forth In
thls affidavlt`prior to commer�cing constructlon. I understand that,aTaeparate permlt may be requlred for elecMcal.work. .
plumbing, signs, wells, pools;. alr condttloning,.gas,�.oc other Install�ttons not.spec�lcally Included-In.the application. .A
permlt Issued'shall be construed to 6e�a`Ilcense to�proceed wlth'tFte work and not�as:authortiy.�.to..vlolate,'cancel, alter, or
set aslde any provlslons of the.technlcal.codes;�nor shall Issuance�of a.permlt.prevent the Bulldlrig Oi�iclal from thereafter
requlrin.g a correctton af errors:ln_plans; consfivctlon or vlolatlons of�any codes. Eve•ry•�p'ermlt=lssued'sfiall become invalid
unless the work authorized.by such permit:�ls-commenced•wlthln sfX;months of�permlt Issuance� or If work authorized by
the permlt is suspended or:abandoned.for.a;period;of�slx�(8)�monffis.-after the:tlme the�work�ts commenced. An extenslon
may be requested� In wctting,,;f�om.the:Bullding,Offlclal for a perlod.not to-exceed=nlriety=(90)�days a�d=�virllf demonstrate
justl�able'cause tor�the extenslon: If work_ceas�s.for nlnety(90)cons.ecutive�day.s�..th�job�is.consldered aba�doned.
WARNING TO OWNER: YOUR..FAILWRE-Ttl.REC.ORQ,A;:MOTIGE:OF,�COMMEMCEMENT,MAY�RESULT IN-YOUR
PAYING 71RYICE.,POR IMPROV ` ENTS>TO..YOUR:�.PROPERTY:���IF�YO.U�IN�fEI�ID�'T0-'�BTAIN�FINAwE1NG;�ONSULT
WIT U O. A � O N �. - �R� fs:� OU ' �C ' � E �
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__ FtORiDA'JUi�T f�:�:t�7:e3)- --- - — -- - --- -- - - - - - — --�- - —
OWNER OR AOENT .- . ONTRACTO
Su ed and swom to(or afflrmed)before me thls Sub crl ed and'swo � rmed)�b me'ltil __
� ny � 9 8" �a—•.•by.
o Islare personally known to.me.or:haslhave produced Who.ls/are p.ersonallyknown•to me.or haslhave-produced • �
- as Id'en8flcatl4ri. _ as IdentlftcaUon.
Notary Publlc . � Notary Publlc
Com Isslon No: Co misslon�No.
' �e � � u , �
Name of Notary typed,print or stam ed Name oi Notery typed,pdnted or stampe
•'"':;U•ti DEBRAELAINERUFFELL ���
�E ,S� .��e;••, •:�::w�; DEBRAELAINE RUFFELL
; • :Commission#GG 045343 ��'� �';:�ommissi
j� •�� ;Fxpires November 7,2020 ' �• on#GG 045343
:_�•; . • t=� a�s Expires November7,2020
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