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Home My WebLink About17-18857 CITY OF ZEPHYRHILLS � 5335-8th Street _�� sis)�so-oozo �$s�� E�ECTRICA� PERMIT PERMIT INFORMATIGN ' LOCATION INF4RMATION- Permit#:18857 lssued: 911912017 Address: 5202 18TN ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRlCAL MISC Township: Range; Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est.Value: Book: Page: Cost: 250.00 Totat F�es: 40.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 40.00 Date Paid: 9/19/2017 Parcel Number: 11-26-21-0010-19800-0140 Ct�NTRACTUR INFORNIATIGIN OWNER INFORMATIAN Name: CSI ELECTRICAL SERVICES INC Name: TRUST#590005202 SMITH TRUSTEE Addr: 273Q1 SOULT RQAD Address: PO BOX 292667 BROOKSVILLE, FL. 34602 TAMPA, FL. 33687 Phone: Lic. Phone: (813)980-3939 Work Desc: REPA(R RISER APPLICATION FEES ELEGTR(CA�FEE 40.00 � �� INSPEGTION REG2UIRED ROUGH ELECTRIC CQNSTRUCTION POLE PRE-NtETER �"C �G FINAL REINSPECTION FEES:(c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the locai government shaE! 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. NQTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property that may be faund in the public recards of this caunty, and there may be additionaf permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to recorc!a notice of commencement may result in your paying twice for impravements ta your properly. If you intend to obtain financing,consult with yaur lender or an attorney before recording your notice of commencement." Complete Pians, Specificafiions and Fee Must Accompany Application. AII work shall be pe►formed in accordance with City Codes and Ordinances. RAGTOR PER C1FFI PERMIT EXPIRES IN 6 MtJNTHS 1NITHUUT APPR4VED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PRt�TECT CARD FROM WEATHER 813-780-Op20 City of Zephyrhills Permit Applicatian Fax-813-780-0021 Buiiding Department - M M Date ReceEved Phone Contact for Permitting — Owner's Name J �-.. -{- �fV\ � }'� Qwner Phone Number Owner's Address Owner Phone Number � � ' Fee Simple Titlehalder Name � � Owner Phone Number �^ � Fee Simple Titleholder Address JQB ADDRESS � � � � �� S � LOT# C_� `,i SUBDIVISION � � PARGEL ID# i� �� (OBTAINED FROM PROPERTY TAX N0710E) +� WORK PROPOSED NEW CONSTR ADD/ALT 0 SIGN Q Q DEMOLtSH �� e INSTALL e REPAIR ( PRQPOSED USE Q SFR Q COiVIIUI 0 OTHER �t' � �� TYFE OF CONS7RUCTION Q BLpCK Q FRAME � STEEL Q �� F� [� DESCRIPTION OF WORK 'e i T �� """ �� SQ FQOTAGE[____� HEIGHT C.�� BUILDING SIZE � � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION I� �� QELECTRICAL $ �a^ AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C.• � �J � � (� e.7 i� OPLUMBING $ � r � QMECHANtCAL $ � VALUA7ION OF MECHANICAL tNSTALLATION �r :x � QGAS Q ROOFiNG Q SPECIALTY 0 OTHER ' FINISHED FLOQR EL�VA7IQNS �� FL04D ZONE AREA DYES NO M ; j � BUILDER COMPANY � StGNATURE REGlSTERED Y/ N FEE CURREI� Y/N � Address License# �_ � � ELECTRICIAN COMPANY �S� t � � � � �� C @ f`�! �.�i° � SIGNATURE REGISTERED Y/ N �EE CURRE� Y/N Address 1��e 1 m t,� la �c�-� �� License# ��1 3 n�0 3'�`� �� PI.UMBER COMPANY � SIGIVATl1RE REGISTERED Y/ N FEE CURRE� Y/N iAddr�ss License# _ � � MECHANICAL COMPANY SIK'aNATURE REGISTERED Y! N FEE CURREt� Y/N , Address License# r^ I ' OTMER COMPANY � SIGNATURE REGlSTERED Y/ N FEE CURREh Y/N ' License# �� Address i j RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, � Minimum ten(9Q)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, � Sanifary Faeitities&1 dumpster;Site 1Nork Pem�it for subdivisionstlarge prajects ' C4MMERCIAL 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{14}working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Sllt Fence installed, ` Sanifary Faciti#ies&1 dumpster.Site Work Permit for aEl new projects.Alt cammercia[requireinents must meet campHance 31GN PERMIT Attach(2)sets of Engineered Plans. � '***PROPERTY SURVEY required for ali RSEW construction. Directions: Fiil aut applicabon corr�pletely. Owner&Cantractor sign back of apptication,notarized If over$2500,a Notice of Cammencement is required. (A/C upgrades over$T500) '* Agent(far fhe contrac#or}or Power of Attomey{for the awner}would be someone with notarized tetter fram owner authorixing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingtes 8ewers Service Upgrades. AlG .�_Fences-{PIotJSunreylFoofage} .�.:,�,:�,.,,;,,�,.:.,;,.,-.��.��..��.-.._..,x . .:.. .. ,.. , i�"`.,n:.,.._'_�...,..:.�,'�.-�;'„t,ti...zJ' .Q`i��', �" .I' , ?'� .�_.L!'�'iJf:Ct'.1�.�I::I , ,:�' . . Driveways-lVotoverCounter;ifonpublic-,roadways::needs�RQW�'` .- ,_ . t; .,��:,r:�,�;:��: ,..,,, .,s:��;�? _ , .^,a.,_:. +_t: „st...,:. . . ��-:' . �Z .- , �.. . . . . .� � ' - ,� C;_�_ _. � ��L�� .�: , . .. ;�; . a, i'�. rf��( - . �" ^ ... ^ � �c �t[;` ..:.(k:i , ,. .I(.! � ,. � _ .� 3�.«.. a _ ....r_o... :.. -... ..,.._ : r.. ,. � . w4^4�_ NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restriction`s° which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- , 8009. Furthermore, if the owner has tiired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. , . TRANSPORTATION IMPACT/UTILITIES 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 buildings, as specified in Pasco County Ordinance 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 prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or '� final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's. Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I 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 AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I 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 to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive L"ands, Water/Wastewater Treatment. - Southwest Florida Water Managemerit District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If 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 Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fll material �.is;to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) � acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or i set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter �i requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid I unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6) months after the time the work is�commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNE : Y R OUR FAILURE TO RECORD A fdOTICE 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. FLORIDA JURAT(F:S: 117:03) - - - � -- -� - - - -- - ---- - _.- - - - -- - -- OWNER OR AGE T � CONTRACT R Subscribed and sw�to(or a� ed)b.efRre me this Subscribed and swo to(or irmed)before e this ��by _ W l0. V��j Gll LS ��y�``Lby W 0. Who is/are personally know to me or has/have produced Who is/ re personally known o me or has/have produced �lc/�/S /�LP�� as identification. ��!��/�'�dLS:C�i as identification. C�.��/l.� Notary Public ? ` Notary Public Com ission No. � � Commission No. � � ` C � e� ,�'/ (� _ Na Nam i t d or stamped ��"'' ��ti�� DEBRA ELAINE RUFFELL •ta�x:, DEBRAELAINERUFFELL ` "� p :;� �;Commission#�aG 045343 =.;� ,�Commission#GG 045343 . ��*;�,:Expires November 7,2020 :;�,��;�:E�ires November 7,2p2p ' '•'.,,,,�gtR � 9ondedThruTroyF.ib�Inwrance8D0,985-7U19 •�°„�tiQ`� EJonc+edTnruTroyFainlnsurancegpp.3g5.7019