HomeMy WebLinkAbout17-18847 -�
' CITY OF ZEPHYRHILLS
5335-8th Street
(813)78p-Q020 18$47
EI.ECTRICA� PERMIT
PERMIT INFORMATIQN � LOCATION°INFORMATION - -
P�rmif#.18847 Issued: 9/15120'17 Address: 38541 8TH AVE HISTC?RIC
P�rmit Type: ELECTRICAL MISC ZEPHYRHIL.LS, FL.
Class of Work: ELECTRICAL MISG Township: Range:
Proposed Use: NOT APPLICABL.E Lot(s): Block: Section:
Sq. Feet: Est.Value: Book: Rage:
Cost: 1,00a.oa Totat Fees: 40.00 Subdivisian: CITY OF ZEPNYRHiLLS
Amount Paid: 40.00 Date Paid: 9/15/2017 Parcel Number: 11-26-21-001p-10300-00$0
CC?NTRACTCiR INF{3RNiAT10rN QWNER IN�ORMATIClN
Name: REESE ELECTRICAL INC Name: SHARMA, DEVANAND
Addr: PQ BOX 862 Address: 38541 8TH AVE -HISTQRIC
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813 788-0091 Lic: I'hone:
Wark Desc: REPAIR STORM DAMAGED RiSER & REPLACE METER CAN
� APPLICATION FEES
E�ECTRIGA�FEE ao.oa
1NSPECTICINS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
/T /.�lr,�,.1' � �`'��, .
9• lS". �� _
���
REINSPECTION FEES:(c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
locai government shali irnpase a fee of four times the amount af the fee imposed for the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NQTICE: In addition to the requirements of this permit,there may be additiana! restrictions applicable to this property that
rnay be found in the public records of this caunty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Your failure to record a notice af commencement may resu[t in your paying iwice for
improvements fia your property. If you intend to abtain financing, consult with your lender or an attorney
before recording yaur notice of commencernent."
Compiete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MCINTHS 1NITH{a►UT APPRt�VED INSPECTIB
CALI. FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PRCITECT CARD FRBM WEATHER
� _ _
813aa;►-ooao + City af Zephyrhills Permit Applica#ion Fax 813-780-0021
Bullding Qegartmen#
Date Recetved •= Ri�one Gonfact for�Pe�nittin ��J ���
Ov�rner's Name ��-��aa'X�- ��'1G�f"rY1� Ownar Phone Number
Owner"s Address r�'1� � GP�n-ivM 1 ._I 1. -Owner Phone Number � �
Fee Simple Tltleholder Name �� - � Owner Phane Number � �
1 � i
i
Fee Simple 7ltleholder Addresa � I'
�os Ac,aRess �J`$5►-1�1 `�� �c�nUe.� �P�.�cin;tl� �t-+.. 33��-t a-.. �or# �_^�
sueaivisioN � � ` PARCEL ID# I� �a�• a.i•a01�� ��3�o• 00$'O
(OBTAINED FROM PROPERTY,TAX NOTICE) '
WORK PRQPOSED NEW CONSTR ' ADD/ALT � SIGN "Q CJ DEMOL,ISH
;e: INSTALL 8 .�� REPAIR �
PRQPf3SEQ:�tISE Q SFR [� COMM �,] OTFIEF2
TYPE OF CONSTRUCTION Q� ' �I.00K " [,� FRAME � STEEL Q
DESGIZIP110N OF WORK-` '�� q.,`� �G4 � G ' � Y"
�UtLDtNG'StZE � � ' �' SQ FOOTAGE ' HEIGHT $C„_^,� �
�. �
QSUII.DING $ � ___.. . . ,
A.. ,...Y_
�. VALUATION:�'fF TOTAI�CONSTRUCTION
QEL"ECTRICAI - $ t ��l�Q,fl(� AMPSERVICE � Q W.R.E.C.
� l7�+�5�
QPLt?MS�t�G � �
�:� �. ,
[�MECHAi+11CA1. $ YALl3ATtON OF MECNANICA�.INSi'AE.�+4TION
��,.
QGAS Q ROOFING Q SPECIALTY [� OTHER - �
FINISH�D FLOOR ELEVATIONS ��� FI.00D ZONE AREA QYES. NO
-- -�������a - - - - - _ _ _ _ __ - coM���- _ _ _ -_-- -- _ __.._.�__ . _.� .- -- - -__. _)
SIGNATURE REGISTERED Y/ N FEE CURRE� Y"/N
Address , � .. -License# � � �
E�EGTRICIAN : ;GOMRANYI' ' ` , . - ", ��.c�^l1CS.� �c_..
SIGNATURE � REGISTERED N ��cow�en ' ` °• /N -
Addee`ss C� �j�Q}� Z {Jt �S �t.�j � . � ..License#: ���-'�1?��,�• ��
, - , . , , ._ � • . � �
F�UMBER � C��IIP.ANY , � , _, .
SIGNATURE` ,Re��STertE�. Y./..N; �:. • FEE.CURRE� • Y�/N. -_ _
Addr6S8 ` _Lit�nSe,#�� �-
MECHANICAL' � , COMP._ANY
SIGNATUiZE ' � ' � � „ REGIS7ERED Y,/_-N . ,FEE�CURREA., X/�N ,
Address ' � _ �' . - ' • , , � license# �. .. _�, �
: �. . � -
OTNER �'' „ , � ';GOMPANY '
SIGNATURE � ' ' � REGISTEREDt Y/ N._- FEE CURRE� Y/N
Addre� ' ' . - � , Llcerise# �- �
,`�{� ' � �
RES@ENTIAi::;<�Attacti'(2},RtofrPlasis;�(2)`s_ets=ofBiiil_dliig�Ptans;.{i_}'setofEneigy�Eoims;R�O�I►1t�:Perinlf#ar;newc�nstruof�ori, --- ___�
—�- �""`-- , .;tulinimum.ten;(5.0),working;days:afte�;submlttafdate.:Requlred onslte;�.C.nnstructlon Plans;Stormwater"Plans w/Sllt Fence installed,
"� Sanitery FaciltUes„&:7<,,dumpsterSite Work�,.P.ermitfor subdiVislonsAarge;projec;s �` �- ' � � � �
COMNIERCIAt. At#ach{3)°cbmptete se#�ofBuilding'P1ans pius a Ufe Safety Page;{1}set af Energy Fotms.E2 t}-W Permi##or new canstructlon.
--__._.. ,_ � Minimum ten(10)working days afker submittal dake. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
� -Sanlfary Fa�litlss:&-1_dumpsteG Site Work Permit for all new projects..All commercial requlrements.must mesk campliance
SFGN PERMIT Attaclt'{2)set�cf Engineered�Plans.�.'=;.;'_ , ;..__. ___ - '
"""PROPERTY SURbEY r �
equirec!for all NEW construcUon. _
Dlrectlons: - ,` ,_ , _
FIII out applicatlon completely.
Owner 8 Contractor sign back of appllcation.notarized
If aver�2500,a Notice oE Cammencement Is required. (A!C upgrades over.$T50d)
'" Agent(for the contractor)'or`Power of Attomey(fa�tlie owner)would be someone with notarized letter from owner autharizing same
dVER THE Cf�liACfER PERM137iNG- -- -{Front of Appilca#ian Only}- f�
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) �--^
,,.�-
Drlveways-Nat over Counter if an publfc roadways,need's•ROW4'�T'"''"� r'"
::orn�oMu4Y.t'.;'P.y...54f�✓K.•n \ ,
i -`�i�?.�7 :,.,._��,`�, �:i.i�'Z :� �p ,
�.�'<::xl;CJ y. .'ti'.i ��. ii`T_f '4,I � l
�$ ..._ . , .z'!',^, ':�:; �� ``q't �i.
,,,,, -; ;iri;,�� , .
_ _'t�'J'L'._ ....
� ::iit-.:4'.� _�lU.'t°.:�ii'u"� , �... ...s,. ..
s. ..ru+ ...�*fxs.nrzx-aua^:,-
;
., ; .
- �,.......:> t.�.;,
N0710E OF DEED RE�TRICTION$: The undeesi9ned,understands�:th�t•this:p�rmif,:may,...be.subject to,"deed",,restrictions" _,._ :��.;:.
which may�ti'e.�mo�e'r.estcictive=th��County regulatCons: �The�under"slgned�'assumes��responsibiltty for�compiiance with any'"
appHcable deed rest�ictlons. , ,,.:..�„ ,.. : -. • _. _.. � - . �`:'
UNLICENSED� CONTRACTORS :AND CONTRACTOR RESPON$IBILITIES: -�If-the�owner has'hired��a"contractar or
contractors to unde�take work,they may-,be�r,equlr.ed..to:;be,licensed in,aceordance.with,state.and�locaf regulation_s.::if°the��-� �<
contractor ts�not�itcensed�as�requlred',tiy lew, tiotti the owner and�conuacto���may��be��cited-for"a�misiiemeano� violatton
under state law. If the owner or Intended:contractor;;are,;uncertaln,as to what Itre.nsing,requirements:;may-:apply_,for:the��-. � �- �;�::
Intended work, they are advi§ed to contact�fhe�Pasco County,Bulliiing:'Inspection�Divlslon-Llcensing Section at 727-847-
8008. Furttiermore� 'If the ovi►ner has�hl�ecJ�a conlracto�"o�contractors, he Is advlsed to have �the contractor(s),:slgn
�..,:•,�. � .,-,....
portlons of the:."cont�ctor Block" of,thls�appllcation.for,whlch,they:w1U,be r.esponslble.-. If.=you,-as_.fhe owner,`sign�'as tlie �
contractor, that�may be an Indicatlon thaf'tie�Is�not.properly`Ilcensed"and��ls not entltled to pemiitHng privlleges ln Pasco
County. ; _.;,,: •. . , .
TRANSPORTATIAN�IMPACTIUTILITIES-rMPAC7=ANb RE�OURCE RECOVERYfEE3:-The unde�slgned understands
that Trensportatlon Impact Fees and:Recourse Recove.ry.Fee� may-;apply�to�the:constructlon_of new_bulldfngs,;change of=����``��� '"`
use In existing bulldings; or.�.expansl�n��of��ezlstf�;g:�6ulldings, as speclfled.in Pasco County Ordlnance number 89-07 and
90-07, as amended.�.The undetslgned also:vnderstands, tliaE:'such fees,yas�may��e:.due;-wfllsbe (denfffied at the�'time��of� � ���-� �'"
permltting. It Is furtFier understood that Transp�ortatlon Impact Fees and,Resoucce�.Reco�ery�Fees„must be pald prior to
receiving a °certlficate..of=occupancy" or flnal��power..Gelease:-:If`the.proJ�ct�._does:not Involv�:a�.certificate of occupancy=o�=`=��"�� = �
flnal power release;_the-,fees�must'tie pald.pcior to,permit Issuance. Ft��thermore;If Pasco,County�VllaterlSewer�_Impact • . � -
fees are due,.they=mustbe:pald;:pNor to.permit_:Issuance_�n accordance w1th:=appllcable Pasco�:County ortlinances. �
CONSTRUCTION LIEN'LAW�(Chepter 713� Florlda St�tutes��s amended): If valuatlon of work Is$2,500.00;cr more,:;l� �. =���:�
certify, that I, �he appllcant;_�have_been provlded=�with-a_copy of'�the°"Florida� �onstructton�:Lle"n :Law—Homeowner's
Protectlon Gutde" prepared by. the Flo�lda Department�of Agrlc.ulture and Consumer_Affairs. If the appllcant Is someone : . „
other than the"owner", I certlfy.that;l.h�ve.�.ob,talned�a�copy;of:the:above-.descrlbed�locuir�ent�and.promise�:ln,good:faith-to .
deliver It to.the.'owner"`.prior�to�commencement:' � '" - , ' - ' . -
CONTRACTOR'SlOWNER'S AFFIDAVIT: I.ce�tity,that-all th��,lnf.ormatlon::ln�thls appllcatlon is accurate and that all work
will'be done in compl(ance wlth all appllcable laws regulating constructlon, zontng and land�development. Appllcatlon is
hereby made to obtain..a.pecmit;,Ca�do.�worlc�,and Installatlon as Indlcafed:�:�°I: certffy that no work�or Installatton has -
commenced prlor to Issuance of'a permBE`and that.all work wlll be pertormed�to meet.standards-of all laws regulating-
conshuction, County and City cod�s, zoning regulations, and land development tegulatlons�ln the�jurlsdlctlon.- (��.al'so ..
certlfy that I understand that the regulatlons of other government agencles may•apply�to.the_lntended work, and that it is
my responsibllity,to Identifjr•what,acttons I must take M be.In:.corr�plla�ce:.,.Such.agencles lnclude but�are.not Ilmfted to:.. �
- Department of E�lvironmental>�Protecfion=Cypre'ss`Bayhead�, W`eNand Areas and Ernlronmentally Sensitive
Lands,WatedVNastewater Treatment.
- Southwest Florida Water Ma�agement�.Distrtct�.Wells; `Cypress.�B�y�eads, Wetland Areas, Altering
Watercourses. - � . L� - �
- Army Corps of Engineers-Seawalls� Docks, iVavfgable Waterways.
- Department.of ,Health�..& .Rehabllltative.,Servlces/Environmental--Health Unit Well.s, WastewateS;Treatment,
��plla Taink�. ` _ - - -- - - - --- - � - - -, � •
- t1S Environmental Protection Agency-Asbe�fo�a6at�ment.�. . - -
- Federal Avtativn;Author.Ity.=Runways;� �
-I understand.that the.following::�estrlctlons apply'to the use of flll:• -
- Use of flll ls not allowed iniFlood:Zone"V"unless expressly permltted.
- If the�:fill materlal-Is fo'be used-In.:Flood Zone. "A; It. Is understood �that a dralnage pla�n addresstng a
°compensating volume" will be subm(tted at�9me of�:permitting which is prepared by a profession�i engineer
Ilcensed by��he State of;Flo�Ida: - � � , .. � . . .
- If th� filF-materlal�t"s to be used in Flood Zone 'A" in�connec�ion�wlth��a �errr�ltted�building using stem wall
� constructlon, I certify that fill:�rall:be�used only.to.fill the.area wlthln.the�stem=uvall: - ,
- If flll materlal Is to be used ln any area,�I"�certliy that .use of=such flll wlll not adversely aftect adJacent
propertles. If use_of flll Is found to adversely:�ffect adJaEenf�pcoperties,.the owner may be clted for vlolat(ng '
the condl#ions._of the bullding�;permlt Issued�under tiie attacfied permlt�appltcatlon,�.for::lots.less:.than:one (1)
ac�e whlch are elevated'�by f111,an englneered dralnage plan Is requlred. . �
If I am the AGENT FOR THE OVYNER, I,promise In good falth to inform the-owner of the permltting condftions set forth In
this affidavtt�prior"to commer�cing constructlon. I understand that a;separate permlt may be requtred for electncal�work� . ., ,
�. .
plumbing, signs, wells,.,pools;. alr condtttontng,.gas,�or othet Install�ttons not,spec�flealty lncluded�tn.the application. .A ,.
permlt Issued shall be construed to be�a�Ilcense'-to��proceed wlth"tNe work and not�as:authoNty::to,violate�'cancel, alter, or
set asfde any�provts(ons of the.tecliolcal codes;�nor shall Issuance�of a.permit.prevent the Bulldlrig O#ficlal from thereafter �
requlrtnga,co�rectlon:af-errors.ln;plans, consCructlon.orvlolat(onsofanycodes. EVery-piarmtt-lssued"siialFbeaome-invalld
unless the work authortzed.by such permlt:�ls-commenced�wlthln siX.m.onths of�permlt lssuance, or If work authortzed by
ihe permlt Is suspended oc:abandoned for:a:perlod-of�slx:�)montf�s:aRer the tlrne the�work ts commenced. An extension
may be requested, In writing,:from.tNe�Bullding.Offlcla) for a perlod�not.to exceed�niriety=(90)�days a�d wlll demonstrate
justl6iable cause for:the extension�. If work ceases.for nlnety(90)cons.ecutive.days;..the job�,Ps.considered aba�doned.
WARNING TO OWNER:_ YOUR„�AILURE,TO,,REC.OltQ.A�.f�OTIGE.OF,�COMMENCEMENT�:MAY-�RESULT IN�YOUR
PAYING TWICE;FOR IMPROVEMENTS�.TO afO.UI�:P�PERTY.^IF'.YO.UaIN�'�END:TQ`OB7'AIN�FINiA(�1E1NG;�ONSULT
WITH YOUR LEND�R:ORAµ�1'�TORNEY�BEF�REtREGOR��IN�:YOUR,NtOT1��°OF`COMNlENCE�IENT: �''
FLORIDA JURA�(F.S:1.1 T.03} � - " � � ' � �
OlNNER OR AOENT - -:� CONTRACT � �.�_,. I�
Subscrlbed and swom to(or aNirtned)before me thts Subscrlb and'svumm•to of affl�rned efore me tht§C '
� by � .by... . _ ��
� Who Islare personally knovm to.me or.haslhave produced o.ls/are p.eraonellyJmown�to tRe,or has/have�pmduced • -
as Identlflcatlon. as Idendflca0on. •
Notery Publlc _' '�'' Notary Publlc
Commisslon No: � ' Co r�Isslon�No. (.T • � � .
� � � - ( .
Name o/Notary typed,printed or stamped Name of Notery ed rinted or stamped
? „�.,.
, ;�ti:"�:Y�;DEBRq E�qINE RUFFELL
:,?Commission#GG 045343
:�:
;,, �;;r Expires November 7,2p20
�4FOP F4�A�, go���7roy F�in Insurance 8pp�g�7019
11111