HomeMy WebLinkAbout17-18773 ' "" CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 1� 3
ELECTRICAL PERMIT ��
' PERMIT INFORMATION LOCATION INFORMATION
Permit#:18773 Issued: 8/14/2017 Address: 38741 CR 54 E LT 104 105
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 IIVFORMATION 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. 33542-6312
Phone: (813)782-8622 Lic: Phone:
Work Desc: REPLACE METER POLE
APPLICATION FEES
ELECTRICAL FEE 40.00
INSPECTIONS RE RED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
�, V '
/ � �
REINSPECTION FEES:(c)With respect to Reinspection fees will comp y ith 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.
CONT CTOR PER OFFI
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
` a 813-780-0020 City of Zephyrhills Permit Application Fax-81&780-0021
Building Department
Date Received Phone Contact for Pertnitting --
TI'7T
owners Name SLEEPY HOLLOW MOBILE HOME ESTAT owner Phone Number
OwnersAddress 38615 LANSING AVE OwnerPhoneNumber
Fee Simple Titleholder Name SAME Owner Phone Number
' Fee Simple Titieholder Address SAME
JOB ADDRESS
38741 CR 54 E LOT# 104&105
SUBDIVISION SLEEPY HOLLOW MHS B ppRCELID# 02-26-21-0010-05000-0030
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED e NEw coNsrR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM X� OTHER OLE
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIP110N OF WORK RELOCATE&REPLACE WOODEN METER POLE WITH CONCRETE POLE
BUILDING SIZE S�FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ 800 AMP SERVICE 200amp� PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ !�j /J� 3
�� V �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION L '
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEECURRE� Y!N
Address License#
ELECTRICIAN � � COMPANY EAST PASCO ELECTRIC, INC.
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address 10624 US HWY 301 DAD CITY, FL 33525 �icense# EC13003069
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/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)Ptot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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 Pertnit for subdivisionsflarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construdion.
Minimum ten(10)vrorking days aNer submirial date. Required onsite,Construction Plans,Stormwate�Plans w/Silt Fence installed, '
Sanitary Facilities&1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of applicalion,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letler from owner authorizing same
OVER THE COUNTER PERMITIING (copy of contrect required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
- � .
N4TICE OF DEED REST.RICTIONS:.The undersfgned underetands;tkt�t�ihls;p��mlt�nay.be;sub1ect to,deed",restricttons`;,, �.__
whloh mey-be inor'e-te'stttctive�than Gouaty,�egratatfons:'The uniiersigned�sssumes�=re's'pansibititjr.�foi�compliance vtirith ariyr
appAcable.dsedreaMctians. - ,�:. °.n. . :. � � . ., , � .. . '
UNLICENSED•CONTItACTORS ANCI.CCINTRA4`FOR•RE8PGNSIBILITIES:�-°It'�ie awner has�`hired�a�contraator or
contractars ta undartatce work,they tnay,be?requtred<td���e I[cansed_irt eccoMance,wtttt sigte.and�toca(reguiations;�E If�the��' ��
contract�i,�ta rtiat.licensed ss'requlcad'tiy law, bofh tfie owner arid=conftacto�°inay°bs�ctteid'for a�inisilemesnor vlolaHon
wder state iaw. If the owner or Intended;�cp��raistor;:ere:umcertaln aa to whak Ilcenatng,-requlrementswmay-.eppi��+f6r:tFie� •�
intended warlc,fhey are silvlsei!fo'co�tsct ttie;Fasc.o County_;Bullittiig`tn�pecttoA L�fv��lo�-L(censlrig$ecUan at 727-84T-
8oqe. Furthermore, If the owner'Ftas'ht►ed a contrector ar conhactors, tie Is ailvlaed to have the contraotor(s),.slgn , ,
porttone oi the'co�hactor,.8lociC af thte,eppticaUon.for.whlch.they,wilt.be,responstbte�- ii.�you;as:tha ouvriec.slgii'as flie`
_ __ . . .. v...
contractort t#eat�inay be�an IndlcaUon that'Fte is tioY�rapetiy'lir'.�nssd�atit!`is tiot eri8B8d�to petttilkkCng pr{vlleges!»Pasco.
Caunty. - - - -' •.z,_..: .:.
TitANBPOitTA'FitiN-IMPAGTItA1t:i�'iES�IMPI�►G'i'AHb RE804�itCE RECOVERY FEES: The unde�aigned"ui�derstands
that Trer�sportatton Impact Fees:and.Recourae Recove.ry.�ees majr.-�aPp1y9tv�tF►e;conatructlon.ut new_buftdings,?change o�';• .'�'`'�
use In exi"sling br�qdinga,or_exparislot�r=of-7�leN�ip�bulldings,as specNled.(n Pasco County Ordinance number 89-07 end
90-07,as amended,E.n't]ta und,ecsigned siso:�understends,tti�t'such fees;<�s�tna}r��dus;=wili,tbe Idenilfled at fheutime�of`r- =` '
permltting. it Is fuither i�nderat6os!that Transp�DrtaBon Impect Fees and`fteaource.Recov�ry=Fees:must ba patd prior to
receiving•a'ce�0ticate:of occupancy'+or flnal�powerceleaaa:. :I�°the proJect:.dosa;not irnolve<a�certifli�te of occupan'cy-o��j=r'' �`'
_�
final power relessa,:the;fees snti�t'tie pali!'�pryor.-to.permft is$Ueflce. F��#ttermore;i�.Pssco;Gsunty'{NateriSe�nrer,��lmpact � .,.�,
feea ere due,:they;musl.be;paid;pricr to permlt?Iasyance;fn.accoi�ance=wiUi-appltsabte.Pasco�.Gounky oiilinances. •
CON87RUCTION'C1EN't:lAW(Cheptet 713,Ftotida Stetutea,as em�ddetQ: Ifi v.eluaUon of wark Is�2,600.Oq,or.more.!� • .
certify ttiat 1�-the.appilcant;:-hsve been,pFovtdeif:�with a-r.opY�af�=fhe';'FiorNd�°Con"stru�tto"st,Lfien:l:aw—Homeowrter's
Protection Gutde"prepared by;ttie�F1b►ida Repe�penk'of Agdculture and Gonaum�r,AfFalia. If the applicant!s someona : .f ..
other ihan the"owner',I cerFHy•ih�.�;)_t�ave:.cib.,ta,,inatl�a�aiPY;ot.the;ab:rnrQ-deacrlkied:iiocument�and;ptomise:ln.gpod��ith to _.
s� ,..�;,.�..�._�.;.,, .,�•-r,. .. - .
dsttver lt toathe,"owtie�`p�ibr=Ea�mmena`enie�it:". _ - � ._- .
CONTRACTOR'SIOYYNER'S AFFIDAVIT: L `c�,,G�Iyitfiet;el1:1h951�1fOTfpellCil'�In�thl�applicaHon is accurat+�.and khat a8 work
will be.done in compllance with ail.applicablsl`a`ws regulaUng construcilon,zoning andrland�develqpment. Applicatlon,ls
hsreby made to obtaln_a.pem�lt;ta;d�;wotfs,arsd;Ihstaltatton as iqilt�ated:��.�1 ceitifyr that no vvork'or.t�statlatlan Fias
commenced 'piio�to issuance oi a pemitt'"anc�that:all work wiil be pertonned�to meet-standards-of a!1 laws regula�ng�
construc�tlan, Coun#y and City codea, zontng regutatians, and land devetopment regi�ta�ons`in Uie judsdtctlon: i`al'sa
certlfy khat!unde�stand thaCthe regulatlons of other govemment agenctes may�app4g'to the_.Intended wark,anc�fhat ft Is
my responsibilfly to IdenNfy�what.acttons I muetteke:to bedn.corrlpllarac;e:,S,uch:ageqclesinclude�but-are.nat Ilmitec!to: -
- Deparbnent of Er�vlronmental:�Pioteclfon=�ypress.'Bsyhead"s;Vireiiand Aress.and Ernlronmentaily SensRive
Lands,WaterlWestewater Treehnent. � � �
- Southwest Florida Water Management:Dlstrlct-Wells; Cypress`Bay�eads; Wetland Areas, Alter(ng
Watercourses.
- Army Corps of Englneers-Seawalls;Docks,Navigabte Waiesways.
- Department oF,;He�Ith;,B��,Ftehabtll#�thro,SeniiceslErnrronmenial�H�alth UniRWelts, Wastewatec�Treadnent;
Septic'Taniis:. � � .
- US Environmeatel Protecdan Agency-Asbestos abatemen�
Federal Av.lattonAuthorl�r:l2uriways,
1 underst�nd that the following.restrtctlone epp1Y fo the use csf flii:�
- Use o#tTll Is,not allowed in Flood�Zone N'unless expressly permttled.
- {f the.fiill mate�iai-is to�tie use�tn Flood Zone.°A', it is underet�d ihat a drainage pian addresstng a
°compensatlr�g volume"w111 be,submfZted at Ume of:petmitting wi�ich!s prepared by a professlonal engineer
Ilcensed by the State of F1oNtla: -
- if th��11 matet�al Fa�to be;uged in Flood Zbne'A*in�connec#ion�with:a perniitted�butiding usin�stem wall
' conatrucUon,I certlty thet�ill:�rlll=be ased on{y.to t�!the area wlthin�the�stem waft:
� - � If flil material la to be uaetl�in•.any area, F ceitify that.uea of such flll wlll pot adversely affect adjacent
praperties. if use of,fll)ls fonnd to advers�ely,..affect adjeeent pmperNes,.the owner may be ct#ed for.vloTating
„ the cond�lons�cif�the buildtn�'permlt I§siied=under t�e at�cFied_permii epplfcatlon;for.•.1ots iess ttaan.one(1}
, acte whicfi ere elevateid�6y flll;�n�nglneered dralnage plan Is requlred..
if!am the A�Et�tT FOR.TNE�t?VYNER�,i�pirromtse tn,goo,d#aith!a Infor�rr the owner af-the pamiitUng ca�diUans set fiorth in
this eRidevtt prlor ttt co�miiienci'ng conaUiictlon. (undereteini!that aiseparate permf!may be requlred for elecMcaf work,
plumbing, signs,weils,,poois,..alr,r.ondiUontng,.gas..ar ott�e�inste��(fona no�.spec�fical�y lnduded In.the appllcallon. .A
permit issued shai!be t�i3strued ta 6e�s'ii�nse`.to=piaceed w!!h'ttie.work end not-as:authorii�r:to.vtclater cancel,atter,or
set aslde arry provlslona ot tfie.tecliatca)rcodes;nor shall Issuence�of a.permlt:prevent th�BuUdirig 0lftdal irom thereafter
requtrfng a cortection ai,errors.irs.ptans;�hsiiucNon or viotations ofatiy codea:�Every'p'emttt=lssuetl sliall-6ecome lnvalld
unless the work suthorized:by auch permit�is-commenced�within six�ttgr�ths bf permit tssnance,or if wark authodzed by
the permlt Is auapended or,,ebandon,ed-for e,peHod oE<six(8)�montEis sRer'the Nm�the wark�ls comtnenced. An e�ct�anslon
may be reqqasted,tn wriNt,ig;�am iF4e::Bultdtng,otRc��1 tor s period�no#�to exc�ii`-hinety(6�o)�days ai�dwrlit demonsUate
Justifiable'cause for:the extension (f work c�aaes.for ninety.(94j conser,�itive days,_�e;ab�ls considered abandoned.
WAR#IN�TO OWNER: YOUR;.FA#!:,lJRE;TCi,ltECO�.AnN,4'EdGE;OF:COMM�IGEMENT MAY>RESUtT iN 1lOUR
PAYING TWICE:EOR�IMPttOYEME!!�`S�70aYE1�l�=FROREti�TY:�!F°_YA.U�IM'FECID2�T'�''kSB�AiNtFIPt�NE1NG','CQN8Ul.T
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�oRioa:�uw►s{�.s.t�x:as> - �.., . ,...,.. ,�, '_. '.,:,r: ..,' . ...,'., .: - _. �. ,
OWNERQRAQENT.-. . CONTRdiCfO j ' ..�C.. i✓Lst/`�./ ~
Subdalbed and swom ta im amrmed)beforo me lhts Sub b swomlo(oYefllrtnedrl eforo ma'B tii
6y .
Wha islaro petsonaiy knovm,to.me.ar haaA�ave produced o,Isl ra eBonalryknowmto.me or ttaelhsva prodi�ced
� ae!d'enilRca�ari. ss iden tion.
- r
Naffiry Pub@c . �"� Notary Pablia
Commfaalon No^ Camm t .No.
� ,,,,�,���,.,,, �..
�s`�,.Lr;;::p�4,,, �}A,�irli ^;.kt,i= �J:iF,;,.
Name of Notary iyped,pflnted or etamped Neme ot Nolary �g d Qk_ °=s1;�>:„ '�-,- i� p
%i Q?M �!�.i':ll'•::,�-7;'��i r t��% �V
• �,��€;,°� gx,.:.:�::i;.-.o.`:,:��n�ss�.:u'�iU3�-�8t�94
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