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HomeMy WebLinkAbout17-18825 CITY OF ZEPHYRHILLS _ � ' _ 5335-8th Street �8$25 J � �� (813)780-0020 ELECTRICAL PERMIT � " PERMIT INFORMATION � - - LOCATION INFORMATION Permit#:18825 Issued: 8/31/2017 Address: 39849 TUCKER RD 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: 8/31/2017 Parcel Number: 13-26-21-0000-00200-0020 CONTRACTOR INFORMATION OWNER INFORMATION Name: ELECTRICAL SOLUTIONS OF TAMPA INC Name: GOMEZ FAMILY TRUST GOMEZ OLIVIA Addr: 8525 ROBIN HOOD DR Address: 3117 W BRADDOCK ST TAMPA FL 33615 TAMPA FL 33607-1103 Phone: (813)299-9920 Lic: Phone: Work Desc: SAFETY INSPECT , APPLICATION FEES ELECTRICAL FEE 40.00 INSPECTIONS R UIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL � � ��� �� '�� � e�`�.�(�v I� � 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 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. CTOR 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 r w . Date Recelved ..: P.,hone�Contact for�Perm(ttln � �� Z • Owner's Name � �� Owner Phone Number Owner's Addre�s . � • Owner Phone Number. � Fee Simple Tltleholder.Name � Owiner Phone Number ' I Fee Simple Titleholdec Addeess • JOB ADDItESS � 7 - Gv P� ' LOT# � SUBDIVISION , ` PARCEL ID# � � " , - (OBTAINEDFROM.PROPERTYTAXNOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN` "Q � Q DEMOLISH �B. INSTALL e . REPAIR . PROPOSED�USE Q SFR Q 'COMM • Q -OTHER � '` � ' TYPE OF CONSTRUCTION Q '�BLOCK " Q FRAME � �Q 'STEEL �Q ` _ , , DESCRIPTION OF WORK �i� � - �UILDING SIZE - ' �"SQ�FQOTAGE ` ' ,HEIGHT � QBUILDING , $ , YALUATIOfVYOF�T01'AL CONSTRUCI`ION '- - - � � ��CTRIGAL $ �v� .� , AMP SERVICE 'Q PROGRESS ENERGY Q W;R.E.C. ,� QPLUMBING �$ ' � ;? ,"1 � �v QMECHANICAL �$ VALUATION OF;MECHANICAL INSTALLATION � � C � QGAS Q ROOFWG ,Q SPECIALTY � OTHER � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. ,NO �l�ILDEFt COMPANY", . , . _ � . : � SIGNATURE REGISTERED Y/ N 'FEE CURREA Y'/'N`" " , Address - �ticense# ELECTRICIAPI: _ _ - . ,-COMPANY �IP.C/ 5�'fC61�^ d(J ' �t►f1 A �Lt SIGNATURE �' REGISTERED Y/ N FEE-CURRE�s� � Y 6 N Address " . : ' - , . . _ L(cense#: �-� G� . �- - C C�� PLUMBER. - COMPANY . . .:� SIGNATURE' ' , ��is.TERE��_ Y.L-.N,: '..-,�FEE CURRE� Y.-/N.. :i= , _, �� Address �-License.# � � � , MECHAPIICAL' ' ' ' � ., . . �COAAPANY � " ' . . - , . . ' . � _ SIGNATURE �. , ,. k • , .. . ... . ,: .., REGI$TERED .,. Y/.N. , . ,� FEECURRE�:, Y./�N . . ��. , � • - Addre�s�'�- � � � � . .., � , • ` . ' Licens_e# ' � - OTHER ;. � - -, � , � , . `;COMPi4NY '- . - _ ' SIGN�ITURE .. - '� "` �` ' � �REGISTERED ' Y/'N�..: ;`FEE CURRE� Y/N, , f- ._ •' +, "' ' - - . . - . .' . . Addre�s _ -F�- _ �' . � ��: ' L`Icerise#� � > . 4�...�,.,y: f•,. g:',�;�_:s.:i_ � � RESIDEWTIAL;=:;Attach'*(2),;PIot�Plans;;(2)sets=of�BuildingtFlens;`(1)sefof'Energy>Forrns��R=0=V11�Perrnitfarnewconstruction, ' " � . �. . ..,. -,,.:..:. �:,.�.. _:. ;, ._ . � ,;;fNinimumften::(1.0)�working;days;afterrsubiriittal date:'i;Required onsife;;Con'strucUon-P-Ians;=Stormwater'Plans wl Silt''Fence`fnstalled, � ,�_.., .�:., <n�.,,_ �SanifaryFac(IIUes;&=1;,dump§te_r,LLSite•Work,Permit,fo�,subdivisionsAarge,,pro)ects;;,.,;::,.�,�� ", . �_ � .�;',. " ' • COMIMERCIAL Attach(3)�complete'sets ofBuilcling Plans'plus a Life'Sefefy Page;(1)set of Energy Forms.R-O-W Permit for new constniction.. - • - - - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary FadliHes 8 1 dumpster.Site Work Permit for all new,�proJects..All commercial requl[ements.must meet compllance�� � SIGN PERMIT AttacN'(2)sets�of Eng,i'neered�Plans.: �.�.. • .. .- ,. , .. . "'•PROPERTY SURVEY reguired for_all NE�'N constructlon. - Dlrectlons: , � _ � - � Fill out applicaUon completely. Owner&Contractor sign back of appl(catlon,notarized If over 5�500,a Notice of Commencement i�required. (A!C upgrades over$7500) .. ••�":'+�r,_:.��:�" - Agent(for the-contractor)or`Power of Attomey�(for Uie owner)would be someone with notarized letter irom owner authorizing same DVER THE COUNTER.PERMITTING� (Front of�Application Only) - ' � - - Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) Drivewaya-Not over Counter if on public roaduvays..needs ROW � ,/ �i � �. '" .r . a _a '> NOTiCE OF DEED RESTRIGTIONS: The uttd8tslgned,under•�#ands=;th�t<thi�:p�rmi�:may:be;subjecf to_°deed":,res,#rlctlons":- :.:�.. which majr�be�m�r+e:r.estrictivertha�i�County�ar+agulatfons:��The�uride�slgned as'surries�respansibility"for c:ortipllance with"'�ny` "" � appllcable deed�restrictfons. " -:,..:...:.v.,�. w . n � _. ... .., , ��. ,_. UNLiCENSED�'CCiNTRACTORS AND CONTRACTOR RESPONSIBIt:iTiES: -�If`the-�ow�er has�°hicetl��a�`contractor or contractors to undertake work, they may;b,.et�equire,d4to..beklicensed�in acca�dance.with,state.and;local;regulatlons:,rifrthe>��� � �°�"° .. �,�. ,:,>,..:,.,,._� ,. contractor`ts-nbt��liceiised�=as�requlreii:`°tiy law, biattx��the owner and=contractor-;may��tye�cited for�ra��misilemeanor viotatton under state law. If the owner ar Intended,co,,n�ra�Ctor�;are,uncertain as to wh�t Ilcensing.requirementstimay��apply�:.�for�'tFie`� =-� ��-~�° Intended�work,tfiey are�advls�fo cantact the vPas'co Gaunfy rvButiding,'tnspection�Qtvl�lon-Licensfng Sea#Ean at 727-847- 8009. Furttiermore, if the oinrtier'h'�is"�hlred a"cont�ac#or o� contractors, he ts advtsed to have the co�tractar(s)e sign,, .rt porkians of the:°cor�ttacko� BlockW of,this_application.,.for.which�.they,,will.,be::.r.es�onslble.- If-you;-as:ihe owri�er Xsljgn''as�'`!fie' � '`"��� contractot, that�may,be an 1ndlcation'that°Fie`is not:propertjr lic�nseti and`'is not eri�tled�to perrriitt#'ng priiiiieges in Pasca , County. ` • i ;�,?:,;,<.;^, , _ . TRANSFORTATI�N�lMPACTIUTiLI"�IE$�C�iP�iCT ANt�i�E$OURCE RECQYE�Y-��EES:The underslgned�understands thatT�anspartation impact Feas and.Recourse Recovery.Fees may,;apply4#o�t�e�construction.af new.bulldings�rchangey'of'>F '� �� �' use In existing buildings; or.._expanst�n��of�exlslin�.Nbuildingst as speclfled.(n Pasco County Ordlnance number 89-07 and, -, . 90-07, as amended. ..The undetslgned alsoturiderstands, that:�such fe.es;�aas}�tna,y:be�,due;,wili,ibe identif[ed at tt�e�time°of>`: .-,�t- =: ermittin It Is furilier unde�tood that Trainsp�ortatlon Im act'Fees and'°Resource:Recove`�Fees..must be ald rlar to P 9• P�." N' P P rece�ving-a`ce�#i�cate of occupancy"��or�#inal��powerxrelease:: :1�'th�.project:;does�.ito��lnvotve�a=.cert�c�te of occupancy=}a����t::,°-; `°, �,.: final power release,�the;fees:mu�.k`b�e�paid";p�lor ta.permit Issuance. F��#hermare;:tf:.Pascv,County�WaterlSewer�;lmp�ct- ��:�=�>r� . ..�,. ,t.. feesaredue,,theyVmust.b%pald.:pitor�..permlt.tsst��nce°:ln.accordancew{tli'appltcatife�Pasco��County:ordtnances. � CONSTRU�CTiON;CiEN'I.AW(Ciiapt�r 713�Flor�ida 3tatutea,as arnended): If valuallon of work is$2,500.00;or=more;.-1 ,. --v�; certify that-.I, the..,•appllcant;Thave�been .provldeid�-�with�a-capy�of��the=�"Florida� Consttiotlon Uen :Law-Homeowner's Protectbn Guide" prepared by=tlie Flo�ida Qepar#mea#;of Agricult�re artd Consamsr:AfFatrs. If#he �ppllcant is sameone :_. _,,:.;a other than#he"owner, I certlfjt;that,lrvh�ve.opt�lned�a`�copy.of the.above:de�crlbed tlocument�and,pr.omis�.ln,good':falth�to , � .,� del�ver It to-ttie.'owne�:pi�or�to�coiiir`riencement;�,; � ' , - �- , ... � . CONTRACTOR'S/OWNER'8 AFFIDAVIT: i certify�;:th;a#,:,all�.th���informatlon:ln�thl�appllcatlon is accurate.and that all work will'be done in camplfance with all.appltcable'laws regulating constructlon� zoning and�land�development. AppNcatlon,is hereby made to obtaln .a.pecmit�;to��do.-wot�,,,and�Instailation as Ind[�afed::..::1. certifjt that no wark°:or tnstallatton hias° aommenced p�io�#o fssuance of'a p`ermif�"and'thaf.all�work wlll be pertormed to meet.standards-of all laws regula�ing� consbuctianr County and City codes, zoning regula#1c�ns� and land devetopmettt re�ula�onsrlri"the ��rlsdlc#ion.- I�al'so� .. _ certlfy that 1 under�tar�d that th� regulatlons of other gouernment agencles may•apply�#a the�.tntended.work, and that it (s my responslbllity ko ldentifjr�wh�t.acttans I must�tske:to be4}n:.r.or.rlp!lance;:_,Su�h.ager�cles I�cluda but are.not limi#e.d to: : ,• - Department of Et�vironmental��Protection=Cyp"ress.°Bayiiead�, VlteHand Areas and Environmentally Sensi#tve ' Lands,WateNWastewater Treatment. - Southwest Florlda Water Manageti�ent--�.O�s#ric#-Wells;'- Cypress.k_8ay.heads;- Vltet#and' Areas, Altering Watercnurses. .... . �., . .�. �, � : . � - Army Corps of Engtneefs=Seawalls;`Dacks,Navlgatiie VY�terways. - Depar#ment of.�Heatth,::8�,:,,ReYaab111tati�.e,,Ser,dlces/Errvironmenfai..Nealtt�-Unit Well.s, Wastewater Trestment; - Septic Tanks.:.. x `. .. '" ' ' . '. . . . _ , . . __... ;. , - !!5 Envl�nrne�rtal�Pcotecti��Agec�cgr•A�b�s�os abat�men�.= . - - — - -- - ___. ____ _ ____�- _ . _ - Federal�Avlatton_Authorlty-Runways: , ;'� � _ !understand.thaE.the follci�ring:restrtct�ons aRP1y to�the use o#flll:• . - Use of fili Is not allowed in:Flood,,;Zone"V"unless expressly_permltted., _ - If the�.fll!�mate�ta!-is�to°b.e usetl:ln :Flood Zone. "A"� iG Is understood�that a drainage plan addresstng a "compensating voSume"wilt be subml#ted at time of�permittin�wii9ch is prep�red by a professionai engineer � Ilcensed by'��tie;StaCe of FMotlda. -� , ' ' ,. - � - If the fl11 ma#erlal�.ls to-be�used in Flood �one 'A" tn�c�nnection�vu�#h�a permltted bultdlr�g using stem waN_ . � construction, I certify that till.u��ll:be:used only.to.fill the area wlthln�the�stem=wall: � - . ` - If Slt materla! Is�#o be osed Irt any area, 1 �aeitlFy that .use. of=such�fill wlil not adversely affect ad�acent praperties. If use�af,fitl is found to adv�rseEy:�ffect adja�ent�_prctperties,.the owner may be cited for viotating the conditions��of.the bi�ll�ing�:permlt Is'sued�u�der the.�attaahed_permit:appllcatlon; for:lats+:less;than_one (1) ~ acre wtilcFi"are eleuated'!ay�1#��n englne�r�ed drainage ptan Is requlred. If I�m the AGENT.FOR.THE�OWNEIt; I;promise In good.fatth#o Infarm the owner of�the permltting cohdft�a�s se#forth In thls aff'idavtt`prior tar comiiisracing constructton: �1 untlerstani!that�a-separate`,permit may be tequfred for e1e�Mcal�work, �..,. plumbing, signs, wetls,.,paofs;,air conditioning,-.ga�s,,or.othei install�'tlons not.spec.ffically inclu�led�In.the apptication. �A permlt Issuetl shall be cohstcued to'be�a�ltcense`-to`�proc�ed wlth tNe:work a�d�not-as�authoNty:.to:vlolate;'aancel, alte�, ar . set astde any provisians af the tech%itcat code�;�nor shall tssuance�of a.permit.pcevent the Bulldirig t?�cia!from thereafter , , . .. requlring a carrectlan,af eRorsulrn:plansi-conshuctlan.:or vlolatlons of�any codes.� �very��p'errnit=l.ssued"siiall-become°inval(d unless the work suthorizecJ�by sactt permEt:•is-commenced�w3thln�Gc,months of�permEt Issuartce. or if wcrk au#harized by the permit is suspended>qr.abaradoned;for:a;period,of�sUc:EB)�mnnttis�after>the tlrn�the�work 1s commenced. An entenslan � may be requested� In writltig,�ff.om.the,�Bullding.Offlctal for a perlod.not to.exeeed'°nlnety��(90)"days a�d wlll�demonsirate 3ust�iabfe°cause for�the extensio»: If wark ceases.for ninety�{90}cans.ecutive:day.s..#he f ob_�s consldered aba�doned. 1MARNING TQ �WNER: YOURi�A1,E.lJRE;TQ.,.R�E.00�2D,A=,{�t}TIGE:OE�FCQMMEMCEI�IEMT�.MAY��RESULT�It+1 YOUR PAYING TWIC.E;FOR�IMPROVEAAEN'�S�.Tfl:YO.UR�.PRClPERTY:�•IF°YO.U�IiV'�END�TO-��TAIN�=FII�FAwEMIG;'C.ONSULT -- WITH . D � API� TTO �lRE�., -QR� G; OU �'• �G :° '. . E . . T, " _- ,... -- .--�---_-_,.,�----- --__-...._.�:�_>. - .. -___ ,...�;_:� _..._. ... Fl.ORit�AJURA�'=(F.S:1.17A3} _ . _.__. . _:_ -- _____..----- OWNER OR AO�NT COMTRAC'f0 Subscrlbed anc!swom ht(or aR4mxed)before me thts Suhstxlbed and'swam�#o aflinnsd bp��°fj����p me�tht�,� b� ,.bY"'/-..41�C.�/1 ri� o-I/'O�?J""'��2_.. V1fio Islare persanally known to.me.or hasthave,produced Who.ls/are personelly�Cnown_M me�or has/have�praduced- � ' as Id'en�ficaiion;` � as ldent�lcatton. Notery Publlc _ ' � Notary Publlc, Gommisslon l�to�: Com�lsslon.tdo. Name af Nafary typed,p�lnted or stamped Name oi Natery typed,pdnted or st�amped r i � - S �, <<�v� �/� ��°�� ��J ��e � � � � � J � - � r��� �I � - 3� 3� Z��� C�f� ���.� �� � ��� �a��e � �,� - �a d rN� ����s� �j.:�Fo�e I 0'� on �v�-� ��0 � � �cJ�-�C�P� ��I � �� .��.�° �� S�'�Gl���, � - C�ol� o-� ;���C-� l � � � o�� �-� - � � � �, �� � � � � C�� � C___���� � ��ul ���--� �� ����� � � � ��