HomeMy WebLinkAbout17-18854 - CITY OF ZEPHYRHILLS
- 5335-8th Street
(813)780-0020 18854
ELECTRICAL PERMIT
PERMIT INFORMATIONLL -- � _- _ LOCATION INFORMATION. -
Permit#:18854 Issued: 9/19/2017 Address: 4923 9TH ST
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: 450.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 9/19/2017 Parcel Number: 14-26-21-0010-00600-0060
CONTRACTOR.INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: POOLE JONATHAN E JR & LISA
Addr: 7141 BERRY RD. Address: 4923 9TH ST
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS FL 33542-6049
Phone: (813)782-7861 Lic: Phone:
Work Desc: REPAIR RISER/METER
APPLICATION FEES
ELECTRICAL FEE 40.00
i �
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE r„
PRE-METER �J�`�
FINAL �L 11
_�_ `
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment shall im ose a fee of four im
g p t es the amount of the fee �mposed for the �n�tial 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 fnancing,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.
�
CO 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 Zephyrhilis Permit Application Fax-813-780-0021
�• Building Department
. � -
Date Received � �G�.�''� .Phone Contact for Permltting • —
Owner'�Name �-1 5�l 10(�1"Q Owner Phone Number
Owner's Address �23 �� � Owner Phone Number
Fee Simple Titleholder Plame Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � 1 Z� �� S�• LOT# �
SUBDIVISION PARCEL ID# `'"�� ��7 " �''� �� � �' ��� d� �- U���
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED B :. NEW CONSTR B ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER .
TYPE':OF CONSTRUCTION Q BLOCK •• Q FRAME 0 STEEL Q
' R-e.h.hah �-,e,
DESCRIPTION OF WORK `I�.Y A SS�'a'�2 CI1�'-� Y h7 G�LI/1�riLtQ--e
BUILDING SIZE SQ FOOTAGE�� HEIGHT •
QBUILDING $ VALUATIOfJ'OF TOTAL CONSTRUCTION
ELECTRICAL $ �c�d AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
J
OPLUMBING $ ���e " '�j ,
� ��
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' `�-
,,�`�;
Q,GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER _ - COMPAIPlY
SIGMATURE REGISTERED Y/ N FEE CURREI� Y/N, .
Address License#
"ELEC;1'RICIAN • ^ c��I���)B� COMPANY l�ol� P'��-t'rfl�a �����'/ {Ys�t C'��SS �� �C
.. 'SIGNATURE � ��~ REGISTERED Y/ fV FEE CURRE� Y/N
Address License# C e �v�25 1(� ''
,,t.. -
PCUMBER.;. _ COMPANY '
SIGNATURE REGISTERED Y•/ N_ FEE CURF2E� - Y/N
, Address ' License#
MECHANICAL COMPANY
' SIGNATURE" � � REGISTERED � Y/ N FEE.CURRE� Y/N
Add�ess:" V -' License.# -
i4S.:._f' .., - . . .. -
,_ OTHER;� "`. � � � ' � COMPANY
�:"SIGNATURE:,� .� _ - ' • - RE�isTEREo : Y/.N FEE CURRE� Y/N
s, . .
��;:-;. , . , _, .
. Address;�.;., -%:: �• - � License#
,:� � . . . -
,.:Y...__ ;. , y _ .,.._ , .. . _ . . .__- .. _ ,.. ._ � ..
....�;'�t.,..�
.. . . . . ..a� . •< C. i . .�
'::;RESIDENTIAL�:�.:':Attach�;(2)`:PIot.P.lans;.(2)isefs'ofBuildirigPlans;(1�)°setof�Ene�gy�Fo'rm§;R;O=W,Permiffornew.construction,, ,
. ry^;x�;w;.;;�;•,;Minimum�hen;(,10)�working;days afte��sutimittal.ilafe. :Required'onsite;'Constriiction'Plans;'Storinvirater�Plans.w/Silt Fence instailed,
�_ - �- � 3anita:ry.:,Facilities;8��;1�;dumpster;;Sife;Wodc-P-ermit:for.�:sutidivisions/large`projects` " " •� ` �
°=:COMMERCIAL Attach�(2f'-complete'sets'of'Buildirig Plans plus a L'ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
, Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
;'%�` Sanitary Facilitles&1 dumpster,_Site Work Permit`fo��all•new•pFojects.All commercial requirements must meet compliance
����'SIGN:PERMIT "Attach"(2)sets:ofiEngineered'Plans:,c. . . . . �
"""*PROPERTI!SURVEY required for.all.NEW.construcBon:
�;r` - -� - _
�;Directions: . ..., : _. -
� " �_�Fil4:out�application completely.
- Owne�.&`Contraitor sign back of application,notarized
r "if over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
�"'` ..Agent(fortfi`e'conVactor)•or°Power of Attomey(for tFie owner)would tie someone with notarized letter from owner authorizing same
�:;OVER:THE-COUN7'ER;�PERM�TTING, ..., .(copy.of-contract-required) -
; ;Reroofs'if shingles Sewers Service Upgrades A/C Fences(PIot/Survey/Footage)
` `.,:..:-�,_;�.:r..-,;a:
Driveways-Not over Counter�if on public roadvirays:.needs R01N.. u__,.�. : •� • •••- ' '
,!. _, •i�ri, �.,,rt.,..i .;1:J_.. - , .,.:...�ww�..:.o,. . �^E�-
.� . . ., � .'.i -,.:iil,.a!Cfi! _ -• ° ,. f_�}' , _S>'ti:`1--�' 'l'... , ..
' `' ;.,;,ty,; ;, .
�jt�" � -.r:. . ,,�.i.� - _ , �, �Li.i v:'� r _.. '
. . _"s•,. , ,�,_ 'r� , ` . , . � � ',� ::'.,� ;.ri�;;'r ;1�` ' r.�� • . -
, . - - �n•z.'., oz.. . . ..n _.. - � . .._:.. . :, ,.i�)��--;C:..- 5'.r„ �.3'' �_ �.. - . -' ��,__ ' �
'_ ' ,�, ..� ��e.�. ._ ,..,r:. .,. __�,. - - ...
� ----- �����.�i
� , . _,
.--,� ;
� _.�,�.:�
NOTICE OF DEED RESTRICTIONS: The undersigned understands;that.this permit may_be�subject.to°;deed".resfcict'ions": -
:�r �:� >.-, ��-�_�. - :,f.:...::-.,;,.,.... . .s�a�,�...,,
, _ which.,may�t�e�more:restrictive�#han�Countycegulat�on"s: •The��unitersigrted:�assu'r»"es°��esPansib�l�#y.foc,coii`t'pl9ance�iuitli`any``:.';;
applicable deed restrictions.. ' .��-;:�. -. .r,=.a?
_. ,.._._� x
UNL-ICENSED�-Gl?NTRACTORS AND CONTRAGTOR RESPQNSIB}UTIES: �!f�tEie=-awiier�has�.�fiired"a��con#racCor�or �
cantractors to undertake�wark, they mays;b.e r.eguired to be�,(icensed in accordance with-state�and local~regul;atioms:��=if.:�tt�`e•,�"�:t;:,�;
M.;..:.�_......�:-.�.,_ .
contractor is not licensed-as requi�ed'15y�lavv, botH the owner:and'cont�raefor�may�=tie-eited�for�:a misdemeanor violation� � 'i
under state law. If the owner or intende�l,cantractor are uncerfain as ta what Iicensing reguir.e'riients;,mayr.apply�for;�ttie:��;;.;G���
. ,.Q:.A�..{ .�i . ..r,.W':.. . _ 1 '" �I
intended wack,.they are�advised to cantact tkie'Pasco Caunty'Building Inspection:Division;=Licensing Section at_727=84.7= �.,�{
8Q49. Furthermore, if�the owner has tiired'��a coritcactor ar confractors, he is advised toT;have the contractar{s),sign._A,-, .
portians of the °cantractor Black"of this applicatipn.for which they„will.be resPonsible:-.-If_yau, as`;the�owner`�sign as�;tlie���"�" ,�
con#ractoc, #hat may be an indication that he�is nat prcipe�ly licensed arid is nof entitled��to permi#ing privileges.,inryPasco:_:.,,w;?:�
Caunty. . :.:: .1: ::..�.7
TRANSPORTATION IMPACT/UTILI7IES IAAPACT AND RESOURCE RECOVERY FEES:�The undersigned undecstands �=•
.�,.<
that Transportation Impact Fees and Recoufse Recovery F�.es�;rr�a�r:appty fo_#he c.ons#rucfion.a,f,:new;buifdings,.change{:rof;`�;x,-'.
use in existing buildings, ,or�expansion;of�:existing buildings, as specified in Pasco Caunty fJrdinance number 89-07 and.� ' ;:,
90-07, as amended. The��ndersigned also.understands, #hat such.fees, as�may:,be.due, wili''be?ider�tified=at?the�tirne`.af=��<.{;�
p e r m i tt i n g. °I t i s f u rt her un ders toa d t ha t Transpo r ta tion Impac tn Fees�an d Resource`�Recovery Fees mus t be pai d priar: to '�;?
receiving a "certificate of occupancy.°�or final.,power release. If the.project does not involve.a ceitificate of occupancy.:o�-:�f-�T��
final pawer release, -the fees-must be,paid prior#o permit issuance. Fur#herrr►ore,,if Pasco..Gaunty W.ater/Sewer;�lmpact:,°,�-• .;
fees are due, tfiey must.be paid prior tapermit issuance;in'accordance"with applica6le_.Pasco:County ordinances. � �n
GQNST-RUCTlQN�l:iEN•t�AW'{Chapter 713,"Florida Statutes,as amended}: If valuat�on af wrork is$2,5QO.00 oc.mor:e,�ir-,,;,ry �
-
certify tttat I, the app�icant, have been-.provided with a -capy,�,of�-the °Florida Constructian.�Lien.-Law'--H.omeowner's��
Protection Guide" prepared by"�tfie Florida Department of Agriculture and Consumer Affairs. !f the applican#�is someone�,, � :
�,:r,.:�
other than the uawner",;I;cerEify.that.l_have obtained a copy-of#he above desc�i6etl�tlocument-and promise�in_goo,d:faith'fo ,,,� ,;
deliver it:to.the:..';owner:°�prior.Eto.�commeneeinent' � � - � � �
CONTRACT4R'SlOWNER'S AEEIDAVIT., ;I�certify,that all the in€ormati�n in this application is accurate and�fhat all`wotk �
will be done in compliance with all applicable�laws regulating cons#ruction, zoning�and land�develapment. Application is _
hereby made ta obtain,,a._permit_to do zwork-and installation_;as=.indicated. ! certify thaf no work ar installation-has
commenced prior to issuance of a permit and-that all work will be performed ta.meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development�regulations-in the jurisdiction. 1:also
certify that 1 unders#and that the regulations of ather gavemment agencies may apply to the intended work, and that it�is f
my responsibility to identffy what actions I must take to be in compliance. Such agencies include.but are not limited;to: �
- �Deparfinent of Environmental `Rrotec#�on-Cypress Bajrheads; VtCetland Areas and EnvEronmentally Sensitive '
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress .Bayheads, Wetland Areas, Altering �'
Watercourses. � .
- Army Corps of Engineers-Seawalls, Docks, Navigable Vllaterways. �
- Deparkmenf of Health & Rehabalitative ServPcesl�nvironmental Health Unit Welis, Wastevtirater 7reatment, �
5eptic'Tanks. , �
- _ _ - ' --- US Environmenfat Protection Agencv Asbestos abatement.____.--- .-�--- — - -- .. ._ _ _ ._. _..
- ~ Federal Aviation Authority-Runways.
I understand that the following restricfions apply to the use of�II:
- Use of fill is not allowed in Ftood Zone"1!"unless expressly permitEed.
- If the fill material� is to be used in. Flood Zone "A", it is understood that a drainage plan addressing a
"campensating volume" will be submitted at time of permitting which is prepared by a prafessional engineer "
licensed by the State of Florida.
- If the fill mate�ial is to be used in Flood Zone "A" in connectian with a permitted bullding using stem wal!
construction, I certify that�il wi(I be used anly to fiit the area within the stem wat(.
- If fill material is ta��be used in any area, I certify that use of such fill will not adversely a#fect adjacent
properkies. If use of fill is faund ta adversely affect adjacent properties, the owner may be cited for violaf'sng
the eanditions of the building permit issued und"er the attached-permit.application, for lots�less than one (1) '
acre which are eleva#ed by fill,an engineered drainage plan is requited.
If I am the AGENT FOR THE OWNER,-i-promise in good faith#o infarm the owner of.the permitting conditions set forth in
this affidavit prior to commencing construction. ! understand that a separate perrriit may be required for ele�tricat wock,. `
plumbing, signs, wells, paals, air cortditioning, gas,..or�otFier instaltations not specifically included in the application. A � �.
permit issued shall'be construed to�be a license-to proceed wi#h the work and nat as.authority to violate, cancel, alter, ar '
set aside any pravisions af the technical codes, nor shall issuance of a perm9t prevent the Building Ofificial from #heceafter '
requiring a correction of errors in plans,=construction or violations ofany codes. Every permit issuedshall become invalid
unless the work authorized by such permit is commenced withirt six months of permit Issuactce, or i#work authorized by -
the pertnit is suspended.or abandoned far,a period:.of-six(6}months after the time the work is`commenced. An e�ctensian
may be requested, in writing, fram the Building O�cial far a period not to exceed riinety(90) days and will demonstrate �
�ustifiable cause far the extension. 1f wark ceases far ninety{90)consecutive days,the job is considered abandoned.
WARNING TC? OWNER: YOUR FAIL'URE,'TO RECORD-A NQTlCE OF COMMENCEMENT MAY RESU�T IN YOUR
PAYING TWtCE FOR iMPRQVEMENTS:TO YOUR�PRtJPERTY., IF YOU�INTEND=TO�.OBTAIN�FINANCING,CONSULT
_ _ WITH YOUR LENDER ORi4[V�ATTORNEY BEFORE RECORDING YOUR-NOTICE QF'COMMENCEMENlT-.-- - -
F�ORIDA JURAT{F.S.1 7.Q3) � � ' •
r /
OWNER OR AGENT Lk _L_,,, CONTRACTOR � �°'�Ol
Su bed and swa to{or af�rmed b' me . Es Subscribed and am to{or a �rmed}b o me#h9s �
_���1L�bY �/r/'�I�by .r�����i�_ .
Who is/are personally knawn to me or has/have produced � Who is/are personally known to me or aslhave produced
as identification. �t• as iden�fica�on.
_�������_Sd..�I7/�y, � Notary Public ' Notary Public I
Cam ission No. C,tC7""���� Co issEon No. � �3
��;�ciCL �Cc.�tie_ �cl�e�� ����'.'�4 �cFf-�.dE PQu�f�K� _
Name of IV���p�inted or stamped Name of Njq�,1��.-�atad,a°
'� S;�,Yp,' p�6RAELAINERUFFELL
t�3 .•;����,'v,"n,'�h•, pEBf2AELAINERUF '�°• `��'•
;.:�•.� � �=: �Elt _ ; ' ,:Commisslon#GG045343�
�.'�._�..M1'vamrrtission#G�045343 =^: , s
t ��s;Expires November 7,2420
' e`Ex ires November 7 2p2p �'%FpF F4RP`' 3onded Thru 7roy Fain Insurance 800-385�7019
�•.: �::.;;: P , ����,���
:;,P;F4'ci' E3onded Thm Troy Faia lnsurance 804-3d5�T0l9
,,,,�