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Home My WebLink About17-18772 , CITY OF ZEPHYRHILLS �9} �� 5335-8th Street � f � (813)780-0020 �$772 ELECTRICAL PERMIT ' ' - PERMIT INFORMATION LOCATION INFORM T - �; Permit#:18772 Issued: 8/14/2017 Address: 38741 CR 54 E LT 102 03 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 ESTATE Addr: 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 F S ELECTRICAL FEE 40.00 � '�� INSPECTIONS QUI E ROUGH ELECTRIC CONSTRUCTION POLE � PRE-METER ELECTRICAL FINAL 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 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 NTRACTOR 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 Fax-813-780-0021 Building Department Date Received _ Phone Contactfo►Pertnitting �—�—�—r owners Name SLEEPY HOLLOW MOBILE ESTATES owner Phone Number Owners Address 38615 LANSING AVE ZEPHYRHILLS OwnerPhone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address SAME JOBADDRESS 38741 CR 54 LOT�0� � LOT# � SUBDIVISION SLEEPY HOLLOW MOBIL pARCEL ID# 02-26-21-0010-05000-0030 (OBiAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM OX OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK REPLACE METER POLE BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY � OTHER J � � � � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO / � .�.� 30- 7 BUILDER •COMPANY, �7CJ`� b� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# C/�� ELECTRICIAN COMPANY EAST PASCO ELECTRIC, INC SIGNATURE REGISTERED Y( N FEE CURRE� Y!N Address 10624 US HWY 301 DA E ITY FL �icense# EC13003069 � PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Altach(2)Plot Plans;(2)sets of Building Pians;(1).set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanilary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construdion. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construdion. Directions:, Fill out application completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgredes over$7500) " Agent((or the contraclor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITiING (copy of conVact required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: l"he undersigned understands that this permit may be subject ta"deed" restrictians" which may be more restrictive than County regulations. The undersigned assumes rasponsibility for campiiance with any applicable deed restrictians. UNLICENSED C�N7RACTORS AND CONTRAGTOR RESP4NSIBILITtES: !f the owner has hired a contractor ar contractors ta undertake wark, they may be required to be licensed in accordance with state and lacal r�gulations If the cantr�ctor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state !aw !f the owner or intended contractar are uncertain as to what �icensing requirements may apply for the intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847- 8009. Furthermore, if the owner has hired a contractor ar contractors, he is advised ta have the cantractar(s) sign portians of the "contractor B1ock" af this applicatian far which they wiil be responsibie. if you, as the owner sign as the contractar, that may be an indicatian that he is not properly licensed and is not entitled to permitting privileges in Pasca Caunty. TRANSPORTATlON IMPACT/U7ILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of � use in existing buildings, or expansion of existing buiidings, as specified in Pasca Coun#y ardinance number 89-07 and 90-07, as amended The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid priar to receiving a "certificate of accupancy° or fina! power release. If the praject does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counky WateNSewer Impact fees are due, they must be paid prior to permit issuance in accordance wifh applicabte Pasca County ordinances. CONSTRUCTION LtEN LAW(Chapter 7'13, Flarida Statutes, as amended): If valuatian of work is$2,504 00 ar more, I certify that 1, the applicant, have been provided with a capy of the "Fiarida Constructian Lien Law—Hameowner's Pratectian Guide" prepared by the Flarida Department af Agriculture and Consumer Aifairs. If the applicant is sameone other than the"owner", 1 certify that 1 have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVI7 I certify that all the information in this application is accurate and that all work will be done in compliance with aI1 applicable laws regula#ing construction, zoning and land deveiopment. Appiication is hereby made to obtain a permit to da wark and installation as indicated. I certify tha# no work or installatian has cammenced prior ta issuance of a permit and that a{! warlc will be performed to meet standards of al! {aws regulating cons��ruction, County and Gity �ades, zoning regulations, and land develapment regulations in the jurisdiction.. 1 also certify that ! understand that the regulations of other government agencies may apply to the intended work, and that�it�is my responsibility to identify what actions I must take to be in compliance Such agencies include but are not limited ta: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmenta(ly Sensitive Lands,Water/Wastewater Treatment. - Sauthwest Flarida Water Management District-1NeIls, Cypress Bayheads, Wetland Areas, Aftering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wasfewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Autharity-Runways. I understand that the fallawing restrietians apply ta the use af fiH: - Use of fiU is not allowed in Flood Zone"V" unless expressly permitted. - !f the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a � "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Flarida. i - lf the fill material is ta be used in Fload Zone "A" in connection with a permitted bui{ding using stem wali construction, 1 certify that fili will be used oniy to fil!the area within the stem wall. - lf fi{i material is ta be used in any area, ! certify that use of such fill wi!! not adversely affect adjacent praperties. lf use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditians of the building permit issued under the attached permit applicafion, for lots less than one (1) acre which are elevated by fili, an engineered drainage plan is required. lf 1 ar;�the AGENT FOR THE OWNER, I promise in goad faith ta infarm the owner of the permitting canditians set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica( worlc, plumbing, signs, wells, pools, air conditianing, gas, or ather installations nat specifically included in the application. A permit issued shall be construed to be a license to praceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, canstruction ar vio(ations af any codes. Every permit issued shail beeome invalid unless the wark authorized by such permit is commenced within six months of permit issuance, ar if wark authorized by the permit is suspended or abandoned for a period af six(6) months after the time the work is commenced An extensian may be requested, in writing, fram the Building Official far a period not to exceed ninety (90) days and wi!! demonstrate justifiable cause for the extension !f work ceases far ninety(90)consecutive days, the jab is cansidered abandoned WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUt�T 1N YOUR PAYiNG TWiCE FOR IMPROVEMENTS TQ YOUR PROPERTY. 1F YOU INTEND TO OBTAIN FINANCING, CONBU[.T W1TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NC}T10E iJF CQMMENCEMENT. FLORlDA JURAT(F.S.117 03} � ' OWNER dR AGEFIT CONTRACTQR � �� Subscribed and sworn to(or a�rmed)before me this Subscribed and sworn ta{or a�rmed)befo e me this (~-� bY by IYlf.t.(%-�'�'lGi. �.Q�."'�C.'✓ � ' � �� i ! Who islare personally known to me or hasJhave produced Who is/are persona(1y knawn to me or hasf ave produced as identification. as identificatian. No#ary Public � ,�-��Notary Public Cammissian No. Gammission Natary Pnblic State ot Flmida Name of Natary Eyped,printad ar stamped Name of Not ,pQn� Y pF 886632 ��h� Expires01126/2 0 1 8 ` , ' CI7Y OF ZEPHYRHIL�S �• ° � 5335-8th Street ' (813)780-0�20 17890 ELECTRICAL PERMIT PERMIT INEORMATtON GOCATION INFORM t�N Permit;#:'f7890 Mssued: 11/04I2016 Address: 38741 CR 54 LOT 'I 3 �j (6�- Permit`Type: ELEGTRICAL MlSC ZEPHYRHILLS, FL.. Class c�f Work: ELECTR(C SERViCE REPLACEME T Township: Range: Proposed Use: NOT APPL.ICABLE Lot(s): Block: Sec�ion: S �eet• Est.Va[ue; Book: Page: Cost: j 250.00 Tatal Fees: 40.00 Subdivision: SLEEPY HOLLOW MHSUB DIV Amoun�Paid: 4Q.00 Date Paid: 911Q412016 Parcei Number. 02-26-2't-OC310-0500-OOQO CONTRACTf3R INFORMATION OWNER INFORMATION Name: sEAST PASCO ELECTRlC, !NC Narne: SLEEPY HOI.L(7W MH PRK Addr: i90411 CONNERLY RD Address: 38741 CR 54 �DADE CITY, FL 33525 ZEPHYRHILLS, FL 33542 � Phorte:', 833 782-8622 l.ic: Phone: 893-782-11'S1 Wo'rk Desc: REP CE METER POLE � APPLICATIQN FEES ELECTRICAL FEE 40.00 �j' I � �j 1 ECT NS REQ.UIRED ROUGH ELECTRIC CONSTRUCTIQN POLE � PRE-METER � FINAL ,t � C�� :r� I � / ; , � J I i REINSFEC'RON FEES:(c)With respect to Reinspectio ees witl compty with Florida�tatute 553.80(2)(c)the loca!government shall impose a fee af four times the�amount of the fes imposed for the initial inspection ar � first reinspectian,whit�►ever 1s greater,far each such sabsequent re�nspection, NOTICE: iIn addition to the requirements af this permit, ere rnay e additional restrictions applicable to this property that rr�ay be found in the ptablic rernrds of this c�unty,and there may be additional permits required from other gavernmentai � entities such as water management, state agencies or federal agencles. "Warning to owner: Your fai[ure to reaord a notice of commencernent may result In your paying twice for � impravl ments ta yaur prape�ty« If you entend to obtain financeng,consu[t with your iender or an attarney before reconding yaur notice of comrnencement" �omptet i Ptans,Speafica#ians and Fee Must Accompany Appiica�iori. Alt wark sha11 be pertormed tn accordance vuith Cityr Codes and Ordinances. � � � C NTE�ACTOR PER C7FF! PERMIT EXPIRES IN 6 M4NTHS WITHOUT APPRQVED INSPECTIO iCACI. POR INSPECTION - S HOUR t�OTICE REQUIltED i PROTECT CARD FROM WEATHER � , � � . � e��-�eo-oozo City of Zephyrhills Permit Appllcation F�$��-�� • , i • Butlding Departrnent •Y , I _ Date Reaeived phone Contact for PermlMin - Owrters Name l 1 lJW l F— Qwner Phone Number � Owner's Addross �� lilx5� OvJner Phone Num6er �� OZ 1 `\ 1 Fea Simple eholder Name Owner Phone Number , Ree Simple eholder Addmas , J�BADD CK-S LOT# � O . SUBDIVISIO PARCEL ID& , (OBTNNED FROE�PROPER7YTAX NOTICq . WORK PROP ED B NEW CONSTR e ADD/ALT Q SION Q � Q DEMOl.ISH , INSTALL FtEPAIR PROPOSED ISE Q SFR Q COMM Q OTHER ' TYPEOF CO STRUCTION Q BLOCK - Q FRAME Q STEEL Q DESCRIPTIO�CF WORK G�-C 1 C � ��+- , I BUfLDING SIZE SQ FOOTAGE�� HEIOHT �� i I QBUILDINO $ VALUATIONOFTOTALCONSTRUCTION � V�(�ELE� CAL $ �,pp AMP SERVIGE Q PROORESS ENERGY Q W.R.E.C. � PZ QPLU{�ABIfVO $ �� QMEC� ICAL $ VALUATION OF MECHANICAL INSTALLATION �1 N �/ y � U �, QGAS Q ROOFINO Q SPECIALTY Q OTHER � FINISHED FLO�R ELEVATIONS FLOOD ZONE AREA QYES NO � I I i � BUILDER COMPANY ! SIGNATURE r�Gis�rtEo Y/N �curtRen Y/N � , Address 'Llcense# ELECTWCIAN COMPANY � .t�l S` � . SIGNATURE r�cisf�u Y N �cuRRB. Y/N , naare� � OlD � S . O � u�� L 60`3 � PLUMBER COMPANY . I SIGNATURE r�oisteaEv Y•/N �cu�n YY N I , Addcesa + "Llcense#�•` � MECHANICAL _ . ; COMPANY SIGNATURE• , r�GISTsteo �. Y/.N • �Cursa�A ' "YFN • Add're'ss ' ' . _ L•ieanse#r •:,. . . . -OTNER�`" C�M,pANIf ' SIGNAT.URE:�. . - riEc�aeo •Y/N. F�cxmREn• Y./N Address•.. • LFcense� , RESIDEN7ZAL-.�llttecfi;(2);PlofPlens�(2pseffi�Lf�8ullding�Plac�;'(1)'sat of�Eneigy Form"s;R;O-W.Pertnit.for nevy construd[on, , � ti •,� �Minllnurt{:tem(,10)}vorkfng:i!"ays after�subrtiltteFdete. Requireif'on"site;Coristruct[on Plans,.StartnwaterFlans w/Slit Fence Inshalled, � `Senitery�FaGlltlea.8_1�.dumpstel SRe llllork Permit tor.subdivl�lons/►arga proJecls� _ �COMMERC{AL �Attach'(2)'cortiplete$ets.of Bull�ng Plans�plus e Lfe Safaty Page;(1)sat of Enargy Forms.R-O-W PertnR for rrew oo�trucUon. - —_- .- �Mfnlmum ten(10}wo�itin8 daya eftersubmitlel date. Requlred onsife.Constructfon Plans,Stortnwataz Piens wl Stlt Fence•Installed. Sanfhary Faplltles 81 dumpster.Site Work Permit foP•all new proJecta.Atl cammerdal requVements maet meet oompllance ' `''SION PERMfT '�Adacli(2)sate of�Engineered Plena. � ; t""PROPERTY SURVEY required for.aA.NEW.construdlan. . , ,.blreeUons: i • •� - . Fllouhappflc�Uon completely. . Ovmer 8 CanMactor sigh.back of eppttcatlon,noterized • If over§2500;a Notice of'Commaneement Is requlred. (AIC upgrades over y7500) ' •• Agent(for tlt'e'conUactor)'orPoxrer of Attomey(for"the owner)would be someone with notadzed letter fmm owner authorizfng same i .OVER TFfE COUNTER PERMITTING (eopy of contrad requhed) : i Remofs if shingles; Sewers Service Upgrades NC Fences(Pbt/SurveylFootege) � i Drivaways-Not over'Counter if on public roadways..needs ROW � � � _ . .d � � NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permft may be subject;to'deed°restriC.tlbns° _ which may be.more•reskicdve.than County regulations: •The understgr�d�a'ssume`s r'esponsib(lity:foi�complian"de�wlth•any/ '` applicable deed restrfctions. ,; ��•�' -'' . UNLICENSED CONTRACTORS AND CONTRACTOR RESP.ONSIBILITIES:• If tfie•owner-hashired�a=:contractor or contractors to undertake work,they may be required to be•licensed in accordance with state and local regulations: If the:•••• contractor-is not Iicensed as•required'by iaW,both�the owner and contractor=rtiay�tie cited.fo�.a misdemeanor vlolaUon� under state law. If the owner or intended co�tractor are uncertain as to what I(censing requiremer�ts.-inayc:appiy�for•the: � ' (ntended work,they are advised to corifact the Pas�Courity Bulding Inspection�Dfiilsion=Llcen'sing Secti�on at 727-847- 8009. Furthermore, it the owner has hired'a conUactor or contractors, he is advised to�have the contractor(s)sign_. portions of the°contractor Block'of this applir,aUon for whfch they wlfl be responsbfe..i�you,as Hi�-owrier sign•as ttie �` � contractor,that.may be an indicatlon that he�is not properly�licensed and is riot endtled�to�pertnitting prlyfleges In Pasco , County. • _ . TRANSPORTATION IMPACTIU.'fILIT1ES IMPACT AND RESOURCE RECOVERY FEES:The underslgned understands • that TransportaUon Impact Fees and Recourse Recovery Fees may app(y to the consfruction of new buildi�gs,chahc'�je�of•'" use In exlsting bufldings,or expansion of exisUng bulldings,as specified in Pasco County Ordinence number 89-07 and ; 90-07,as amended, The undersigned aiso understands,that such fees,as may b.e.due,will 6e identified at��the�U�Yie ofi ' " permitting. It is further understood that Transportatlon Impact Fees and Resource�Recovery.Fees must be paid prior to '• receiving a"certificate of occupancy°or final power release. If the.project daes not invofve a certlficate of occupancy or. final power release,the fees must be paid prior to permit tssuance. Furthermore,if Pasco County WatedSewer•Impact•• - fees are due,they must be pafd prior to permit Issuance in accordance with appiicabfe Pasco County ordinances. CONSTRUCTION LIEN•L•AW(Chapter 713,Florld"a Statutes,as amended): If valuation of work is$2,500.00_or more,-I: certify that I, the appilcant, have been provided with a copy.of the "Florida Construc6on Lien Lav�Homeowner's Protection Ouide°prepared by the Florida Department of AgriculGire and Consumer Affairs. ff the applicant is someoFle other than the°owne�',1 certify that{have obtained a copy of the above d'escribed document•and promise�in,goodfailh ta. . deliver it to the"Qwne�'prior to commencement CONTRACTOR'SIOYYNER'S AFFIDAVIT: I certify that all the infortnation in this application fs accurate and that aIC work will be done In compllance with all applicable laws regulating construction,zoning and land-developmer�. Application Is hereby made to obtaln a pertnit to do work and installatlon•as indicated. I cerdfy that no work or installation has commenced prior ta issuariCe of a permit artd thet all work will be performed to meet standards af all laws regufating , construction, County and City codes, zoning regufations, and land development regulations in the jurisdicflon. 1�also «�rrtffy that I understand that the regulations of other govemmerrt agencies may appiy to the intended work,and that it Is • my respansibil'ity to identffy what actlons I must take to be in compliance. Such agencles include but are not limited to: , - Department of Environmental ProtecNon-Cypress Bayheads,WeHand Areas and Environmentaliy SensiGve Lands,WateNWastewater Treatment - Southwest Florida Water Management Disfict Wells, Cypress Bayheads, Wetland Areas, Altedng Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Watermrays. - Department of Health & Rehabllitative ServlceslEnvironmental Heaith Unit-Wells, Wastewater Treatment, Septic Tanks. • - US Erntronmer�tal Protection Agertcy Asbestos abatement. - Federal Avlation Authority-Runways. t understand that the following r�strictlons apply to the use of fiil: - Use of fill Is not allowed in Flopd Zone°V°unless expressiy pertnitted. - If the fill mate�ial is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a 'compensating volume"will be submitted at time of permitting which is prepared by a professional englneer Ilcensed by the State•of Florida. - if tha ftll material (s to be used in Flood Zone°A"In connection with a permitted building using stem wall canstruction,I certify that flil vw'll be used only to fill the area within the stem wall. - if fill•material [s to.be used in any area, I certify that use of suctrfill will not adversely affect adJacent properties. ff use of fill ts fourtd to adversely affect adJacent properttes,the owner may be ated for violatlng the condiBons of the bullding permit issued under the attached pertnit appllcation,for lots less-than one(t) acre whlch are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to lnform the owner of the permitting conditlons set forth in , thls affidavit prior to commendng constructlon. i understand that a separate pertnR may be requlred for electr�al work, � plumbi�g,signs,wells, poots,afr conditioning, gas,onother ir►�tallations not speciflcally included in the application. A permit issued shall be consWed to'be a license to proceed with the work and not es authority to vlolate,cancel,aiter,or set aside any provisions of the technical codes,nor shall Issuance of a pertnit prevent the BuAding Official from thereafter requiring a corcection of eRors in plans,consWction or violadons of any codes. Every permit issued shall become irnalid uniess the work authorized by such permit Is commenced wfthin s(x months of permit issuance,or'rf work authorized by the permit fs suspended or abandoned for a period-of six(6)monfhs after the time the work is bommenced. An extension may be requested,in�writlng,from the Buildirig Offibial for a period not to exceed•ntnety(90)days and will demonstrate justiflable cause for the extension. ]f work ceases for ninety(90)consacutive days,ihe job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECO.RD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY..IF�OU�INTEND-TO OBTAIN FINANCING;CONSULT WITFt YDUR LENDER OR i4N ATTORNEY BEFORE RECORDING YOUR-NOTICE OF COMMENCEMENT. - -"FLVRIDiY'.fURAT'(F:S:'1�T.03r"—'—.,_ _ , .�.._.--— ' ------ -- — OWNERORAGENT CONTRACTOR�CLCS�I�L��'`-��/�--- -- Subsafbed an bswom to(or aN'irmed)befote me lhis Subscribed and��fe(�Q )�me�HSs r�� ]C�.0 Who islare perso�reity Icnovm to ma or haslhave pmduced ' Who Ls/are perssona�y Im vm to me or pmduoed as IdeMlflcatian. as Identlflca8on. ' Nofary Public � Notary Publia Commisston No. Commisslon Afo. � Name of Nohary typed,pAnted or stemped Name af Notary lyped,pdnt�or stamped . 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J _ _ YA;1'k�"3. '� �sxr"J - u, � +� �� --��i�- � � ��2�.��,r� '^�� '""��ar��a-r�c'�� ,Y� � � i. � L �' W,� .' �, 49 td� Y�� yr �,, f .. � � � , . .,. ... es, : '.. '�' : � ,fi x�"�'�4u r i'� h y��Na 1,�n�'�M}!�r�d�'6 � ' �' � � � ^�Ju+'�' $� F��, m,�w a' �� +, '� dl '�• ti3.'�, �n�� n 'r.,t�.. � � � ,�' �t. � � .r f�:�;. ' x�.' 1 � � � CITY OF ZEPHYRHILLS 5335-8th Street ;; (813)780-0020 �$77 ELECTRICAL PERMIT PERMIT INFORMATION � LOCATION INFORMATION ' Permit#:18772 Issued: 8/14/2017 Address: 38741 CR 54 E LT 102 103 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 ESTATE Addr: 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 INSPECTIONS R Q IRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER � FINAL � �/ 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 I 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 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�� CONT CTOR PER OFFI � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO I, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER eis-�saoo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department . ' Date Received Phone Contact for Pertnitting -- TITr owners Name SLEEPY HOLLOW MOBILE HOME ESTAT Owner Phone Number Owners Address 38615 LANSING AVE Owner Phone Number Fee Simple Titleholder Name SAME Owner Phone Number Fee Simple Titleholder Address SAME JOB ADDRESS 38741 CR 54 E LOT# 102&103 SUBDIVISION SLEEPY HOLLOW MHS B ppRCELID# 02-26-21-0010-05000-0030 (OBTqINED FROM PROPERTV TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER OLE TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK RELOCATE&REPLACE WOODEN METER POLE WITH CONCRETE POLE BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ 800 AMP SERVICE 200amp� PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �� QGAS Q ROOFING Q SPECIALTY 0 OTHER �v FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO i i i -- BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN � �� COMPANY EAST PASCO ELECTRIC, INC. SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 10624 US HWY 301 DADE CITY, FL 33525 �icense# EC13003069 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projecls COMMERCIAL Attach(2)complete sets 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,ConsWction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facililies&t dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. ' ""PROPERTY SURVEY required for all NEW construction. Directions:• Fill out application completely Owner 8 ConVactor sign back of application,notarized If over Sz500,a Notice of Commencement is required. (A/C upgrades over$7500) " 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 (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTiCE OF DEED REST.RIC'fIONS:.The undersisned under�tands�th�tthls�p�nnitsmay.be:subJect,to'deed"resfrlctions°,,, ,� _,-��. . • whlah may�tie>in�re=tesUlcthreltt��t Guunty�iat�ons:�'The:Under�Tgned"assumes res}�t'insibiiity°icr'caimpqanice w1Ui ariy � �APllcable deed reatrlctlans. - . ��;.:: .: • �,._. , , _ UNUCENSED��COMTRACTOEtS ANb CONTFtA4`t'OR RE8PON�IBIG�TIEB: �ff��lie°owner has��hired�a"cantractar or contractots ta undertatte wor{c,they may;bs.;re�uired>to�tie,ltcenseii trryaa;arclance.wtth state,and;lacal,rsgt�lallons;��it�#he�..- : � contractor,t`a-not licerns+ed a��ie'quir�'�py law.•bottt tFie awner arid�contrecto��msy be�°cii"ed-tor�a�riilsdertieanor vlotaUon , , � under state iaw. it the owner ar Intended�„'r�o�r�ractor;�are_uncertein es to whak Ilcena�ng;regulrements,imey�epp(y,��for:tiie' • . .... ,.. _,..�. _ . - tntended�vriork,they�re adiilse�i fb coritact,�Fie:Pasco_County_Bullding:tti'"spectionl�Fii`sloj�-l:tcenslrig Section at T27-847 � 8008. Furthermore, H the owner Fias'hfr'ed a contiacfo�or conhactors, tie Is aclvlsed to have:the contractor(s)slgn , ; .Y.-,t-. .. .,.,, � poritons ot the�`contractor.81ock .of thfe,appllcsUon.for,..whJch.they,wlll be;.responsibte:-.:tf:you;as:ihe awrie�vsigri°as#'fie" ` ; � I contractor,that-Tnap be�an lndic�at3on that�tie'Is`riot{aropetly Iic�nse+a`and'ls iiot"enBBei!to pemiik�`ng priii�eges tn Fasco, County. ° � � . _. _� �;,;..:_. ._ TRANSFOitTATtC1N�iMR716TIt1T1i,�iES�(MRAG1='AAib RESOkiFtCE RECOVERX FEES:The undetaigned ur�dersfands thatTransporteUon Impack Fees:and.Rec:aurse RecaYery,Feea_tn'ay�aPplycM�tF►e�constru�tlon a1'new_bu!{dtngs,;change°'ot�� `^�'` use In ezlsNng bnlldings,or:ezpanslor�sofryekis�f��buil�ings,as specl(led.In Pasco County Ordinance number 89-07 and: s0-07.as amended,,t�The undetstgned alsa;�cintlerst$nds,t��E`such fee��.as,tnajr�a due�Fwiit.be IderiUfied at the�tirtie��f��; ,�;', , psrmikking. It Is fu'rther understood that TraiisporlaUon lmpacf Fees and°Resot�tae_Recdv.ery=Fees.mus!be pald prior to recelvtng�a'certNicate of occupane�'or flnal°pawerreleaae;°:I��the pro]�ck;.does;nat�lrnolve�a=..certiflcate of occupan"oy�o��r'� '~ I f�nat pcwer.retesseK:tii�<,fees<risti�t°!�a"paiit�;p'liir-ta.perrnit IsAt�ance. Ft�tftter�rtore;i[:Pasao,C;ouniy INaterlSewer.-:Impact •. >,::, fees are due,they.tnusR be:pald:pilor to,permlE:lssyance;ln.aixarilance:vtirltli-epP1lcabfe..Pesco'County�ordtnancss. - GONSTRUCTION'L'IEN`LAIIV(�heptet T13,1=tortda$tatutes,as ame�det�: If veluatlon af work Is 32,500.00�or.more;l � ... cer#Ify khat {,-the eppiicant,:hsaa;been provlded�with a.copy:a#::ther.:�`Florlda��CosistrucNon'Lten taw--Homeownar`s Pratectlon Gulde'prepared by:tti�FloHda q�partrnenf of Agdcult�re and Consumer;Aftaits. It the appllcant Is someaae. . < _.:,, ,: ;.. ,..,� � otherthanthe"owner,icertiiy,.that•I�have,ob.,te,.inedAa;copy„of;the,ab_rnra;deacrilied�ocuinent,and.:p%mise:in;godd;faNhto . del4ver it to::tfie.;ovrcie�`p�ior-`to�c�intiieiicenient: `_` ` : . - - CONTRACTOR'SIOVYMER'S AFFIDAViT: 1�i�ti[y;,tfie�t;all:the,Infiotmallon<I��this appllcaaan Is�acasrat�.and that all work wi11 be done in campliance wNh ati.apptfcabte i`sws regutaUng constructton,zpning antl:tand�devetapment. AppllcaUon fs hereby made to obtain,a.permit,:to.do�:wktl�=and;i#�sfallatian as ind#�sfedr�--I c�'rt(iy'that no wark°or tns�ttatlon tias� commenced pr1o�to Issuance qi'a per'rriif'and that`:ail�work will be pertormed�to►neet-standerds•of all I�ws regulating� c�nshuc�tian, County and City codes, zoning regutatiana, and tand devebpment reguta8oris�in Nie Jurlsdictlon: �'.al§o certlfy that!understand ihat the regulatlons of other govemment agenc3es may-apply'.to the_lntended wark,and that it is my�espo�sibilfly to Identify.what.acNona I mueGteke;to 6edn�compllarace: S.uch.agendes Include but-are.not ilmited to: .- - Department of Et►vtronmentel�Rtotection=Gypress.'Bayheadg,Wei(end Areas.and�Envtronmenta(ry Sens�t(ve Lands,Waterl4Vestewa#er T[eatmen� "; - Southwest Florlda Weter Management:blstrict-WelCs; Cypress��8ay,�aads,- Wetland Ateas, Altedng Wa#ercaurses. - Army Corps of Englneers-Seawalls,Daclss,Nevigable Waterways. - Department,of,Health�&.�Reh�bl(itative.SenilceslErnrnironmenCal Hiaelth Unit Well,s, Wastewater=7reatment; Septic Taaks:.. . . I - US Environmentel ProtecBon Agency-Aabestos abatement Federaii Av��on:Authox{�i_Rumrosys� � 1 andersiand Ihat the.folltiwlrig:ie�trlct�ons appiy to tfie use af#lit:� - Use o(f(II Is not allowed In Flooc��Zone"V"unless expressly permitked. - tf the flii metariat ts to b.a uaed�tn ftood Zone.'A, it Is understood that a dralnege plan addressing a 'compensaQng vclume"will ba subml�t�d at�ime of:permitt,ing wF�lch!s prepered by a professlanat engineer Ifcensed by!he State oi F1oHd`a: ` - If th�f311 ma#erfal is'to be�used in Ftood Zona'A"in��annectton•wlth:a pemittted bu0ding using stem wali construuction,!cerNCylhet JUl:iad!l:tze�sed only.to(!!I the area Yvlthin=tha ste�waf}: , �, - if ftll materlal la to be used�`In�.any erea, I ceitify tfiat uaa of•such flll will not adversely aftect adJacent properties. •If use of_ftll t,s_founc�_to sdvere�iy,�ffect adJaeent prdperties,.the owner may be ctfed tor.vt�TaUnB- � the cond�lons.of.the.butldtcig:permit Issiied�onder the al�ctied_permli sFpltcatlon,for.lots�less than:one(1) a`c'ewhicfi iare ei'evaCed�tiy;Af,l;��►�sngTneered dralnage ptan Is requlred.. if t am the A6ENT FGR.THE 01NN�R�,i�promtse tn good faith M inforrr�#fiie ovrmer of°the pemiittfng condHtans'set fiarth tn this ettidevit prinr Eo comirlencing construction. f urlderetand thak a�aeparate,permlt may be rsqulred for elactr!!ca!wark, _ ptumbing,,signs,welts„poots;.atr.condtUoning,.gas,:or ofher:instetlS�oris not.spec�ftaally induded•tn.the appifcation. .A . permit Issued shaf!be construed ta'6e�a'ttt�nse�to-piot�ad wlth ttie wotti and=aot�as:auEhaHiyM vlotate,'c�ncei,atfer,or set aside erry provtstons of tFie.teofiaical-aodes;nor shall lesuence�af a.permit.pr,event ths Bulldirig C�ftda!irom thereafter r�Gutring a c�rrectton uf_errors fn,piens;const�vcNon.or irfolaBons of'any cddes:Eve.ry permtt-Issuetl stiall-become lnvalid unless the work autliorized;by such permtt>is.s�mmenced wlthin�rrtonths of�permtt lssuance,or If work ae�thorized by the permit Is suspended ar.a6andonedrtora�;period af sUc(�)��manf�s BRer:the Ur�e the�work as commenced. An extenston may be requested.M wriNtig;from tt�e:;Buliding,Offiolat tor a p�rtod:nat tta ex�ninet`y(90)�dsys and wiirdemonstrate JustKiable'cause for.�the e�ension. N worlc ceases.tor nlnety.(90)corts.ecuttve daysrth�job=ta consfdeLed abe�tdonecl. WAitNlHCs TO OW1+2ER: YOt�R,FA1lUEtEaTt�,lt�C01tQ,A.i!!4'FtGE-OErCOIIIIM6NG�MEt�t•i'�MfAY•RESUET 1N YOUR PAYING TWICB;FQR IMPItOVE?MEP�7'S-��OFY�Ei�JE�PFtC�PEE�IY::IF�YO.�lJ�lN�7E�lG:�YQ=�lB�'�kIN�FINi�N�tNG;�CQNSUl.T O A ' FLORlOAJURAT(F.S,tlx:03} ' - - ' :-'`e ' � , �-.� . � ' OWNER OR A�ENT -. . CCtit'RA�TO Subevtbed and evwm to(or al�rtnedj 6etoro me Ihi� S" seribad'a 6n(oraPRrtnedrb ro me tlitb by .(y�.; . . � VYho isiaro per�onatly knoMm to me.or haaJhave producad. o( a s oneilyJmovm(o rtte.or lian/have prodiraed � " ae idgntlRcad4n. as tdenNEicaUon. � No�ryr Putt!!c ,� .��C.JU . Notary Pu6tic Commisalcn No^ Coinmfs a, »•.a�:.M6&Nt6 Name oi Notery lyped,pdnted or etempad Name o[ r� ,pd�{�mped ��-•- ,� e�;aLc, Commi�: . 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