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HomeMy WebLinkAbout17-18871 CITY OF ZEPHYRHILLS � �, 5335-8th Street (813)780-0020 "1$$71 ELECTRICAI. PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:18871 [ssued: 912712417 Address: 5236 BELTRANI DR � Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. I Ciass of Work: ELECTRICAL MISC Township: Range: � Proposed Use: SINGLE FAMILY RESIDENT(AL Lot(s): Btock: Section: Sq. Feet: Est.Value: Book: Page: ' Cost: �50.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHI�LS Amount Paid: 40.00 Date Paid: 9/27/2017 Parcel Number: 12-26-21-0030-00500-0140 CCINTRACTOR INF{}RMATICIN 01NNER INFORMATIt�N Name: ROGERS ELECTRIC Name: TEAGUE TARA E Addr: 33184 PORTAGE PATH Address: 5236 BELTRAM DR ; DADE CITY, FL. 33533 ZEPHYRHILLS FL 33542-4647 , Phone: (352)583-5611 Lic: ERQQ12229 Phone: Work Desc: REPLACE METERNVIRE/RISER APPLICATION FEES EI.EGTRIGA�FEE 40.00 INSPEGTIt�NS REQUIRED ROUGH ELECTRIC � � CONSTRUCTION POLE .. t � . Pi2E-METER �f," FINAL � �^ �,� . � � ` �� � � ,, �„� ��.... . ��� _ � � `� �.. � REINSPEC7`ION FEES:(c)With respect ta Reinspection fees will comply wit larida �tatute 553.80 (2)(c)the local government shali impose a fee af four times fihe amount of the fee imposed for the initial inspection ar first reinspecfiion,whichever is greater,far each such subsequent reinspection. � N�TICE: In addition to the requiremenfis of this permit,there may be additiona! restrictions applicable to this property that may be found in the public records of this county, and there may be additianal permits required from other governmental entities such as water management, state agencies or federal agencies. � "Warning to awner: Your failure to record a notice of cammencemer►t may resutt in yaur paying twice for� improvements ta your property. If you intend to obtain financing,consult with your lender or an a#torney� before recording your notice of cammencement." ' Complete Plans, Specifications and Fee Must Accompany Application. Ail work shai) be pe►fiormed in accordance with City Codes and Ordinances. � - i I I I � I � CONTRACTOR PER fJFFI PERMIT EXPIRES IN fi MOhITH5 WITHOUT APPR4VED IN5PECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � a�s-�so-oa2o City of Zephyrhills Permit Application, FaX-s�sa$o-oo2� .. ,� Building Department 4' Date Received " Phone Contact for Permitking – Owner's Name � � 6 <l l��' ���V Owner Phone Number ��� ' � �s �" �3 � Owner'`s Address 5 z 3 �` � ��?��� D�'"" Owner Phone Number �— � � - � � Fee Simple Titleholder Name �� � Owner Phane Number �— � � I Fee Simple Titleholder Address _ JOB ADDRESS �� 3 t' � �Z"�'��� ��� LO7# � ? ' �,�- ?��a�Z � ' CTU3U -tJUSCll>--jj ( -� tJ � SUBDIVISIOtd �� � PARCEL tD# � �; ' (OBTAINED FROM PROPERTY TAX NOTICE) � �� WORK PROPOSED e NEW CONSTR 8 ADD1Al.T � SIGN [� C] � DEMO�ISH ' ;i ' INSTALL REPAIR � ,� , � PROPO:SED USE Q SFR _ � CC}N1M � OTHER j r; TYPE Q,F CONSTRUC710N Q BLOCK Q FRAME Q STEEL [� � �� , . `'��.�''V� Cl (��S'C2 j.�/)2t �-j S'�L�fc. & f,9 �� DESCR�PTION OF WORK ' {� , � �+ BUitAlNG SiZE �^ �� SQ F007AGE�� NEIGHT � 1i ' f; t 8���"Q��� $ VALUATION OF TO'CAL CONSTRUCI'ION � ,; E � � � E�ECTR1Cla� �$ ,�,jS-1fi AIU1P SERVIGE � PROGRESS ENEF2GY Q W.R.E.C: � � I__.......� � � QPLUMBING $ , ;� � il � �MECtiANICAL �� VALUATIOiU OF MECHANIGA�INSTALG4TEON , �, � QGAS Q RQOFING Q SPECIA�TY [� 4THER � � FINISHED FLQOR ELEVATIONS �^� FLOOD ZONE AREA DYES NO i 3 , � r � BUlLDEF2 COMAAAtY ! g SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � ( � Address License# � �' � � � C c��s � ELEC7FtIC1AN �.] a � j�s �G�l� COMPANY � � �CTfZ J l` , SIGNATURE Z REGISTERED / N FEE CURRE� Y/N' , � Address � � j��Ll �U"-{'� 5'C ��-T�1 �� �+�y License# .�-'- fL l�� � Z Z 2 `� � � � . . , j PLUMBER ' COMPANY � � ' ; SIGNATURE REGIS7ERED Y_/° N FEE�CURREn Y/N `• � ,Address License# � �� � MECHANICAL COMPANY - � SIGNATURE REGISTERED Y/-N. .FEE CURRE� - ; Y/�N -', � i ! Address ,License# � i�� � � - � qTHER,. COMPANY � �- SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N, � �- f� Address License# �— ��3 ' � ,... `? RESIDENTiAL" =Aftacti 2 Plqt Plan;s; 2 sefs af Sui(diri Plans;_1 set of Ener ��orms;`R;O W.Permit for new construction, , . �w { ) t .) 9 t ) 9Y �. " Minimum#en.(.1.0)":working days�affer sutimittal•date._ Required onsite,�Construction Plans,Stormwater Plans vir/Silt Fence installed, �_ San�tary Facilities&1 dumpster,S1te Work Perrnit far subdivisians/large projects COMMERCiAL Attach(2)complete sets of 8uilding P�ans plus a,Life Safefy Page;(1}set of Energy Forms.R-O-W Perrrrit for.new construcGon. � _ �Min(mum ten,(10)working,days after submittal date. Required`onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed, , -• Sanitary Facltities&1'dumpster.Site Waric Permit for atl"new projects.A[I commercial requiremen#s must meet campliance � .; - SIGId PERMIT Attach(2}:sets:of Eng,ineerad Plans. • •"`PROFER'IY SURVEY required for all NEVV construckion. .�. , Di�ect'ions: I Fill aut application campletely. ( Ouuner..8�-Contrastor sign back of appEication,natarized If over$2500,a Notice�of Commencement is required. (A/C upgrades over$7500) '* Agent{far the contractor-),or Pawer-of Attomey(for the owner}wotild be someone with notarized letter fram awner authorizing same OVER`THE COUNTER PERMITTING (copy of contract required) Fteroofs If shingles 5ewer's"`'"'°�'~��Service.Upgrades��A/C _ Fences(Plot/Survey/Footage} 1.d_,�. ;,;.,:,.:t.x=' , .-.-. ' Driveways-Not over Counter ifon�public�roadways..needs R01N � - i�C(�- . ?ci�., , .` _ : . ,. ., �- ,-�� .� .,. •' . x- - . ._z NOTICE OF DEED RESTRICTION,S: The undersigned understands that this.permit may be subject to°deed" restrictions" which may be more restrictive than County regula#ions, The undersigned assumes respansibility for compliance�witl�•any applicab(e deed restrictions. � - • _ , _ UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a cantractor or contractors to unciertake work; they�may be�required to 6e licensed in accordance wittt state and lacal.r.egutations. lftlie contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor vialation. under state law. If the aw�ter or iritendec! contrac#or are,uncertain as to what-19cen,sing-r.equirements may apply for#he intended work, fhey are advised ta contact the Pasco County Building Inspection Division—Licensing Section at.72?-8'47- 8009. Furthermore, if the owner lias hired a contractor or contractors, he is-advised ta have #lie contrac#o�(s)'`sign portions of the "contractor Block" af this applicatian far which they wili be respansible. tf yau, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permittimg-privileges in Rasca County. �TRANSPORTATION IMPAGT/UTII.ITIES IMPACT Ah1D RESOURCE RECOVERY FEES: The undersigned understands that Transportatian lmpact Fees-and Recourse Recavery Fees may apply to the cortstruction of new�buildings, change of use in exisfing 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 clue, will 6e�identified at the time of permitting. It is further understood tha#Transporta#ian 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 �nal power relsase, the fees ra�ust be paid priar to permit issuance. Fu�thermore, if Pasco Gounty Water/SewerJmpact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco.County ordinances. CQNSTRUCTlON L1EN LAW(Chapter 713, Plarida S#atutes,as amerided): If valuation af work is$2,500:00 or more, ! certify fhat 1, the applicant, have�been provided wifh a copy of the "Florida Constrtiction .Lien Law—Hameowner's. Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs.. If;the applicant is�someone other than the`bwner", 1 ce�tit}r that I"have obtained a copy of the above described docuri�ent and promise ir�goad fai#h to deliver it to the"awner" prior to commencemenf. CONTRACTOR'S14WNER'S AEFIDAVIT: 1 certify that all the information in this applicatian is accurate and that allGwork will be done in campliance wi#h all applicabfe laws regulating constructian, zaning and land development. App(ication is hereby made to obtain a permit to do work and insta!lation as indicated. I certify that no work or installation has commenced priar to issuance.of.,a.permit and that aii work wiii be perfiormed ta rneef standards of ap laws regulating constructian, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also cert'�fy that I undersfand that the regulatians af other gavernment agencies may apply to the infended wark,.and that it is my responsibility to identify what actions I must#ake ta be in aompliance. Such agencies include but are not limited to: - Department af Environmen#al Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive L'ands,Water/Wastewater Treatment. ; - Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. � - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ; - Departrnent af Hea1#h & Rehabilitative ServiceslEnvironmental Health Unit Wells, Wastewater Treatinent, Septic Tanks. � - US Environmental Protection Agency-Asbes#os abatement. ' - Federal Aviafion Authority-Runways. ; I understand that the following restrictions apply to the use of fill: - . - Use of�II is nat allawed Rn Fiood Zone"V'uNess expressly permitted. i - If the fill .material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a °compensating uolurne" uvill be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. . � s - If the,fill material is ta be used in F.lood Zone "A" in connection with a permitted building using stem wall. construction, t certify that fi11 wiSi be used aniy to�11 the area within the sterrt.wall. � - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent I properties. [f use of fiii is found to adversely affect adjacent praperties, the awner may be cited �or violat9ng the conditions of the building permit issued under the attached permit application, for lots less than ane (1) . acre which are elevated by fill,an engineered drainage plan is required. a lf i am fhe 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 eonstruction. I understand that a separate permi# may be required for electrical work, ptumbing, signs, welis, pools, air cond9tioning, gas, or a#her 9nstalEations not specifically included in the applicatio�n. A permit issued shall be construed to be a license to proceed with the work and not as authority ta violate, cancel, al#'er, or set aside any provisions af the technical codes, nar shati issuance of a permit prevent the Buildsng Official from #hereafter requiring a correc#ion af errors in plans, construction or violations af any codes. Every permit issued shall become invalid unless the work authorized by such permit is cammenced within six months of permit issuance, ar if work authorized by the permit is suspended or abandoned far 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 ta exceed ninety (90)days and will demonstrate jus#ifiable cause for the extensian. If work ceases for ninety{90}consecutive days,the jab is considered aba�daned.y , � WARNING TO ClWNER: YOUR FAlLURE TO RECt�RD A NOTICE OF COMMENCEMENT MAY RESULT !N YOUR PAYING T{NICE FOR tMPROVEMENTS Tt3 YpUR PROPERTY. .IF YCiU INTEN Tt�OBTAIN FiNANC1NG, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E OF COMMENCEMENT. � � F�OF2lDA JURAT(F.S.117.03) , _. __ �__- _ —_- --- -- _ _ -- _OWHER-OR r4GENT --- - - — . _ - - - - - CON'�RACTOR Subscribed and swam to{or af�rmed}before me this Subscrib d and swom ta(or affirmed}before rne this by �,�by ; Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identification. as identification. 5 { Notary Public Notary Public Commissian No. Co ission�lo. � � � �� � Name of Notary fyped,printed or s#amped Name af Na ' .,;;�Yi;�:wtf;., DEBRAEtAI ERUFFE!! ''`°'�� • '�Cammission#GG 045343 ' � �:�:.��c:�;;pire,Novembes 7.2424 �'•%;gaR F o;c Bo�dpd Ttw roy Fain insutance 800-365�T049 ��„���t••' T