HomeMy WebLinkAbout17-18771 CITY OF ZEPHYRHILLS
5335-8th Street
; � (813)780-0020 18 1
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18771 Issued: 8/14/2017 Address: 38741 CR 54 LOT 98 & 99
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 40.00 Date Paid: 8/14/2017 Parcel Number: 02-26-21-0010-05000-0030
CONTRACTOR INFORMATION OWNER INFORMATION
Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MOBILE ESTATES
A►ddr: 10411 CONNERLY RD Address: 38615 LANSING AVE
DADE CITY, FL. 33525 ZEPHYRHILLS, FL 33542
Phone: (813)782-8622 Lic: Phone:
Work Desc: REPLACE METER POLE
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIO S R Q IRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER (
FINAL / v
f �
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 pertormed in accordance with City
Codes and Ordinances.
NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
aia-�eaoozo City of Zephyrhills Permit Application Pax-813-780-0021
Building Department
-Date RecEived Phone Contact for Pertnittin
owners Name SLEEPY NOLLOW MOBILE HOME ESTAT pwner Phone Number
OwnetsAddress 38615 LANSING AVE OwnerPhonehumber �.^ �
Fee Simple Tideholder Name SAME � pwner Phone Number �--�
Fee Simple Titlehotder Address SAME
aosAooREss 38743 CR 54 E �,QT# 98&99
SUBDIVISION SLEEPY HOLLOW MHS�I B ppRCELID# 02-26-21-0010-05000-Op30
(OB7AtNEO FROM PROPERTY TA7C t30T7CE)
WOF2K PROPOSED e NEW CONSTR B ADD/ALT 0 SIGN Q 0 DEMOIiSH
INSTAIL REPAIR
PRQPOSED tfSE Q SFR Q COMM � OTHEF2 �LE
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DescFts�noHo�wotm RELOCATE&F2EP�AGE WOODEN METER POLE WITf-i GONCRETE PO�E
BUILUING SIZ6 � � SQ FOOTAGE� HEIGHT [�
�BUILDING �� VALUATION OF TOTAL CONSTRUCTION
�ELECTR(GAL $800 � AMP SERViCE �Qfla(p � PROGRESS ENERGY Q W.R.E.C.
..... P
QPLUM8ING ��
OMECHANICAI. $ VALUATION pF MECHANICAL INSTALLA710N ����(
1
QGAS Q ROOFING Q SPECIALTY � OTHER
FINtSHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYHS NO
piw i 0.�"� ii.' L 0 i..0 i i ii lii i ' i iS i S 9ii iiii
Ell1lpER � � COMPANY �
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License# � �
ELECTRICIAN � COMPANY EAST PASCC7 ELECTRIC, INC.
SIGNATURE �. RECaiSTERED Y/ N FEE CtlRRE� Y!N
Address 10624 US HWY 301 DA CITY, FL 33525 License# EC13003069 -�
PLUMBER � � COMPANY �
SIGNATURE REGISTERED Y�FEECURRE� Y!N
Address Cicense# �� �
MEGHANICAI, � � COMPANY �� �
SIGNATURE ( REGISTERED Y 1 N FEE CURREp Y 1 N
Address License# �� �
OTHER � � COMPANY �- �
SIGNATURE � REGISTERED Y I N FEE CURRE� Y/N
Address Licersse#.C`-.-- �
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new cansWction,
Mioimum ten(1Q}working days a$er submi@al da#e. Required onsite,Construction Pians,Stormwater Ptans wl Silt Fence installed,
Sanitary Facitities&1 dumpster;Site Work Perrn'sf for subdivisionsflarge projects
COMMERCIAL Attach(2)complete se[s of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence instaNed,
Sanitary Pacilities 8�t dumpster.Site Work Permit#or aIl new projects.ASI commercial requiremenfs musf ineet compliance
SIGN PERMIT Attach(2)seis of Engineered Pians.
""PROPERTY SURVEY required for all NEW construction.
Directions:•
Fill out applicaGon completely
Owner&Contractor sign back of application,notarized
If over$25�0,a Notise of Commencement is required. (AtC upgrades over$7544}
" Agent(for the contractor)or Power of Attomey(for the owner)woutd be someone with natarized ietter from owner authorizing same
OVER THE COUNTER PERMITfING (copy of cantract required)
RerooEs if shingies Sewers Service Upgrades fVC Fencea(PIoUSurveyiFootage}
Driveways-Not over Counter if on public roadways..needs ROW
i
'� �
I N0710E OF DEED REST.ItICTI0N8: The undersigned,understandssth�talhls;��Rnitmay�be subJect tox'deed'resMcktohs"�._. _
• � " which may`tie?more•restt{cttve;thai�GotsEitjr,`r+egtiiatt'ons:=Ttie tind'erslgned''assumes�reapoitslibi�ty�'compUsnce wliii"aiiy `
i eFpftcaible.deed reaMct{ona. � °.�- ..� ` . , . _
'� UNLICENSED'�CONTRACTOR3 pND CCINTRACTOR�RESPONStBIEITIEB: �FF`the ovmer�has"hired��a'"�antt�ctar or
canhactors to undertake worlc,they rriay•be;r8gutred;to:�e>Jfcensed ltr sccatdance.wlth state.and.local regulaHonsi•=•Ff'#t�e�•� .�
� ��� ..,��,.�.�:_�....
contraotoc.°!'s-not Ilcerised as'iequlted,.'•tiy lew,both�kfie ovmer and=ronfreotor.^msy•bekclt�d�tot`a°mistie�rtieanor vlolatton
under state law. if the owner ar intended�cpn�ractor;ere;wncertatn es to whak Iicensing;regulrements;mey�epplyr,��for•;tFie'
fntended work,ttsey ar�adiiiseif to contact;Fiie,-Pasco Caurity 8u1liltng:lnspectlon.DWtslo�e-Ltaenstng 8�c�on at T27-84T-
8008. Fa►thermore, If'the ouvner'has'tit�d�a cenUactor cr con4ractors, he�r'� aavised �o haYe ine conaactor(s)�sipn., . �
portions of the'contractor.,Bloct�of thls,appticaUon_for whicfi.they,wilt tse,�r�esponstbta.-_:If.�you;as,tha owrie�slgri'as'ffie`
contraotor,that-ir�aybe ar�Indlcatlott tttat'tia is tiot�ropetiy Ii�ens"sd�and is`iiot"e»titteii tii perinitting priiilleges tn Pasco
County. ` � . ' ._. _. ,..� , __
'fRANSPOi�TA'flE3N.1MP7�CTiU11Li�{ES�tMRAC�At�b RE$tiURCE RECOVEitYfEES:�The undereigned understands
thatTransportaUon Impack Fees:and.R+�urse Recovery:�ees tsiajr.zaFply�M�the,ccnstrucdon:ol`.new_buttdings,=.chan�e•o'f`�� �
use In ezi�Hng bulldlega,o'r�:eicparislbrr�of�eSileN�%g�liullENogs,as epecffied.in Pasco CouMy Ordinence number 89-07 and.
90-07,as amertded.,�1The urtdecaigned aiso�anderstands,tfii2�f'stich fees,�as tnajr_�e•:due;,will,<be fdentiHed at the1'time2ofi�i'� -� `
permitking. It Is iu'ithe�iinderatbod thak Traiisporka8on I�stpa�C`Fees anii•R+esflu�Recrnisry=Fees.must be patd pdor to
reaetving a'cettNicate.of occupancy'ar Mal�pawer.release:,�:I#=the.proJect.does;not�Irnolveaa�certHtcate of occupanoy o��-�'� �`
tinal powe�retesse,the;#ees mti�t"tie pati!;pitqr to.permit isspance. F�tFhermore�i€.Pasca,::.C,ounty,{IVater/Sewer-:Impact �
tees are due,:they:must:be,pald:pilor to permiC:l§syanee;in.a_ccordance vulfh�app!laelsie.Pasco'Gounty=oii�inances. -
CONS7RUCTION'I:IEN'lAW(�iiept�ir 713,Florlda$tatuten,as emeode�: If v,aluatlon of work Is$2,500.00;or.more,I� � :.
cettify that #.-!he appilcant;:�have;,been.pravtdeil�wtth-,a-w{sy.o#::the�'.Ftortda:.,�onstrtic�#ton':Lten law—Ftomeowner's •
PmkecNon Gufde'prepared by,the F7�"rida Qepertment;of Agriculture and Conaum�r;,�.Affaita. !t the appltcant is,sameo�e-- <
other.than.fhe"owrrer",i certNy,.ih�t:lrhave>oqta.ine��a�copy.of;the';ab,av�•de,scNlse'd;�ocument:and;promise In,gpdd:faith M _ .
� deilver it M:th`s.'owcie�`pitor'Ea:comiiiencemei�i4:'' `,�.: _� � „ - ` -• = - - - .
CON7R/14'[OR'S/OYYNER'8 AFFIDAYIT: l.ceiUtyY.ttiat_albthe,infonrtetlon,in�thls app!lcatton is accurate.and that sll work
witl be done in compiiance with alGappttcable taws regulaUng consirucUon,zoning and:land-deyelapment. ApplicaUon,Is
hereby made to ob�ln,a.permlt�:Cotdo:woik.�and.itisfalla@on as tndtCs[ec��..°�1 a�tlty ttiat no work�or.InstatlatEon tias
commenced pHo�M Issuance of a perrijit"and that`:all�wo�lc wlll be peKormed�to tneet�standerds-of all laws reguladng-
� construcfion, Covnty and City cades, zontr�g reguiatians, and land devetopment regulatlons-in iiia]urlsdlc0on:� 1`al'so
cettlty that'1 understand thak the regulations of otlzer govemment agencles may apply�to the_tntended.work,and that#t ts
my reaponsibllily to IdenBfy.whet,acdona 1 must�teke.to be.in:.00trlpl�ar�ce._S,uch:agendes lnclude buf-are_notllmfted to:- �
- Departmenf o1 E�vironmental�P`otecU6n=E�yp'ress.'Bayhead's;Wei(end Areas.and�Envtronmer�taily Se�sitive
Lands,WekerNUastewater Treatmen� ` �.
- Sauthweat Florida Weter Management rb(strlct VVelis, Cypres,s.`�Bay.heads,- Wetland Areas, Altaring
Wetercaurses.
'�� -' Arrny Corp's af Englneers-Seawalls,Docks,Mavlgatile Watesways.
- Depar#ment of Health:&.Rehabllit�tiva�Senitces/Ernrtronmental Health Untt-Wells;Wasteuuiraater�Treatmen�
Septic Tantis:' . .
� - US Environmenta!Protectlon Agency-Asbestos ebatemen�
j - Fedeta}Avlatton:Auihoiliy;RurnVays: ,
I !understand that the.toltowin,g freshfctl_"ons appiy't6 the use af fllf:•
- Use of ffll Is not allawed in Flooc�;Zone N"unless expressly percnttted.
- tf#he•.filt me#eriai-ta t'o�be useiJ:ln:ftood Zane."A, It ts underetood that � dralnage plan addressing a �
'cotnpe�tsating vo{ume"wiR be,submltted at tlme of:pefmftting whlch le prepared by a pmfessional engineer �
Ilcensed by the 3tete oi F1oHda: ., -� �
- FF th�811 meterial-Is:to be�us�d in Flood Zone`A"1n�connec{ion�with`a�perniltted buliding using stem wall
' constructtan,f cerNTy.that fl1L�lqsbe used only.fo�tlt the area wlkhtn�the�stem wail: I
- If flll matetial la to be used�in.any area, I certifjr that.usa of�such flll will not adversely aftect adJac�nt !
pmperties. If.use r�f_fiii Is,founcF ta advere�ty.atfect adjaeent�pr�pe�ttes,.ihe ovmer may be cfted fior.vioraiing �
� the cond�lops�of,lhe buildl�ig'perrnlE Iss�ied�under tha attactiad,permlk applicatlon;for�otsiess-than.one(1} �
aci�e whtcfi ere elevated�tiy flll;���ngineered dralnags plan Is requlred. �
if i am the A�EMF.FOR.THE,0INNER;_i�promtee tn_goad fiatth to infarm#he owner of the permttting condftlans set fiorth in
tht9 affida4tt prior ta cammeiicing aonsUucHon. I uniieratand that aiaeparate permit may be requlred ior efsctrlcaR work, '
ptumbing,.signs,welts,,pools,.air,condiUoning,.gQs, or•o�e�Install�t�ona not..spec�ic�i�y Included�In.the appifcation. .A
permit(ssued 5haii be consUued to�be e'lti�nse�.io praceed witii ffile_vtiia�k and not-es�autharity to.vtctster cancet,aSter,or
set aslde erry provislons of tf�e.techalcal.codes;,nar shall Issuance�af a.permtt.prevent the 8ulldlrig Olflcla!iram therealter
�,�. ... . � �
requiring a carrecttan af errore�ln.ptens;conetruction orviolaUons ofany codes:Every•p�srtnit-(ssueti"shell-beaome•Invalid
unless the work acithor(zed;by�uch permlt:is_corr�mersced�withln shc,months of�permlt tssuance.or if wark acrthorixed by I
the permit ia auapended�ot�.ebandoned,,for:a;petiod of�slx:(6)�montfis BRer:the.Hme.the�work•�s commenoed. An extension
may be reguesfed,tn w�fiHng;ftom tttie:8uitdtng,0lii�lai far a pertod�rtot.to extieed"hinetjr(90)�dayis and wilt demonstrate
�usti�able'cause fo�:the extenalan If wGrk aaases.tor ninaty.(94)c�ns.eaitfve�days,.the Job,ls consfdeted abandonecl.
. . .. , . .: •t .
WAE2NiNG TO OWNER: YOUR,.FAIi..!lRE:Tti,R�t`..Ott�A_t�0'E�GE:4F;COMM6i+tGEMEt�tT•NtAY�RESt7LT Ra YOUR
PA1fINi3TWICE;FOR�IMPROVEMEI�,7'8:�4vY�71'lEt=PROPEI�7'll�':I�XO.U;11� L•tiTQ"�����FII+�Qt$F.tNG�Ct?1�18UlT
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FLORlDA'JURAT(P.S.11�:Q3}- " � . .. _ � �
OWkER OR AGLNT -. _ . CGNTRACTO - - � � /�—�
Suhsalbed arM swom bo(w emmted)6efore me ffila S' bed'a m do(ot efllrtnedrbef rolltrl thib
�y ,�, .. .. ,
Wha la/aro parowiafry known to.me.or:haalheve p�qduced v.ls/re p.eraonellyknown to.me.or 14aelhave prodimsd
' " aeldentlRoa�4o. astden on. �
Notaty Pub!!c otary Ptibttc
Commtsslon Mo-: Coin�Tset . .
t.� _�nr','•�f., EI.INc P.�J��S .
Name of Nolary lyped,p�lnted or stamped Name �Nota . ��jrt , �
�_• '� .�� ::-12 2018
�;;a ,_; Expires peraml? � ,
yaR�:�`' BasdedTRfx .+Y� '�rav:ar,:88Q4•365d019