HomeMy WebLinkAbout17-18910 CITY OF ZEPHYRHILLS
- : 5335-8th Street
(813)780-0020 . 18910
ELECTRICAL PERMIT
- PERMIT-INFORMATION � � LOCATION INFORMATION �
Permit#:18910 Issued: 10/09/2017 Address: 5118 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 10/09/2017 Parcel Number: 11-26-21-0010-07000-0011
CONTRACTOR INFORMATION OWNER INFORMATION
Name: J L ELECTRIC INC Name: LEE PIETER &YVONNE
Addr: 2848 20 MILE LEVEL RD Address: 6417 BRENTWOOD DR
LAND O LAKES, FL. 34639 ZEPHYRHILLS, FL. 33542-0622
Phone: (813)949-5119 Lic: ER0010220 Phone:
Work Desc: ADD 100 AMP SERVICE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIO S REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
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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 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 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.
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CONTRACTOR - PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHEI�
813-780-0020 City of Zephyrhills Permit Application Fau-813-780-0021
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� Building Department ,.
Date Received " r� 1�� phone Contact fo�Permitting O�� ��� — ��J
Owner's Name ���� ��C� � ��� Owner Phone Number
Owner's Address ��/�' ��=G'�� GV Owner Phone Number
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Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tltleholder Address
JOB ADDRESS s��O (��1 �It✓` �'Q w �t `�S LOT# �
�� SUBDIVISION - PARCEL ID# �/ —��P—O��OD�D`-07��0'��(� /-
f.i � (OBTAINED FROM PROPERTY TAX NOTICE)
C� WORK PROPOSED B NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH
l;.i i INSTALL REPAIR ' -
�� PROPO.SED USE Q� SFR . Q COMM � OTHER
�j TYPE 0`F CONSTRUCTION � BLOCK Q FRAME 0 STEEL Q
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� DESCRIPTIONOFWORK ad� ld���'+'� .S�r`d«�
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,
�� BUILDING SIZE SQ FOOTAGE HEIGHT
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G;
� i BUILDING � VALUATION OF TOTAL CONSTRUCTION
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� t ELECTRICAL $ .. AMP SERVICE � PROGRESS ENERGY Q W.R.E.C:
� ; ��S � � /lS7�
� OPLUMBING $ , '
;� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION.
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� QGAS Q ROOFING Q SPECIALTY 0 OTHER
� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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a BUILDER COMPANY
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� Address License#
�� ELECTRICIAN COMPANY U , �I._,. � 1
SIGNATURE �� REGISTERED Y/ N FEE CURREA Y/
� Address License# }.;._ � � �
� , � , ,
I PLUMBER COMPANY � � �
� SIGNATURE REGISTERED . Y/`N '- FEE-CURRE� '� " Y/N' -�
Address • License# . -
MECHAIVICAL. , COMPANY
i SIGNATURE REGISTERED Y�/ N:• ;,� Fee Cut�en Y-/N - ,
• ; ' . .
' , Address � License#
� OTHER COMPANY
` SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N,
�
�` Address
_ License#
t', . . .. .�� ' . . ..�; ,, , , . . ' _. _. . . .. - : . : .
RESIDENTIAL� Atta'cli(2)Plot Plans;(2)�sefs of B.uilding Plans;(1)set of Energy,.Forms,°R=O-WPermit"for new construction,. .
(:.`,. .Min'i`m`'um�ten,(:1'.0)':working days`aftensutimittal date.`. Required onsite;=Constriiction=Plans;Stormwater Plans w/Silt Fence`installed,
��' Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsAarge projects �
COMMERCIAL 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.(]O)working days after submittal date. Requi�ed onsite,Construction.Plans,Stormwater Plans w/Silt.Fence installed,
'� Sanitary Facifities&9'�dumpster.Site Work Permit for all"new projects.All commeroial requirements must meet compliance
: - SIGN PERMIT Attach-(2),setsof Engineered Plans. � ,
'•"PROFER'tY;SUR1/EY required for all NEW construction.
Directions:
Fill out appllcation completely.
Owner-.&Contractor sign back of application,notarized
If over$2500.a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for-the contractor)or Power�of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
-OVER:THE COUNTER PERMITTING (copy of contract required) -
Reroofs ifshingles Sewers ,__�..�,ervice:Wpgcades-A/C_�.- :Fences(Plot/Survey/Footage) �
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Driveways-Not over Counte�•if,on_public:roa'dways..needs ROW
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NOTICE OF DEED RESTRICTIOMS: The undersigned understands that this permit may be subject to "deed"restrictians"
which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance:with�.any�
applicabte deed restrictions. � , � • - . ; . � . � _ .-
UNLIGENSED CONTRACTORS AND COWTRACTOR RESPONSIBILITIES: If the owner has hired a contractar or..
contractors#o unde�take work, they may b'e�required to be licensed;in accardance with state,.and local:cegulations. 1€�the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanar violation.
under state law. if the owner or intend"etl cont'ractor are_uncerEain as to,whatvlicensing-r.equirements may-apply for the
infended wark, they are advised to cantact the Pasco County Building Inspeetion Division—Licensing,Section at,727-847-
8009. Furthermare, if the-owner has'tiired a contractor or contractors, he-is advised to have ttie contractor(s)`sign
partions of the "contcactor Black° of this appfication for which they will be respansibte. 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�Rasco�
Caunty. '
TRAN�PORTATION IMPACT/UTILITIES IIIfl�ACT ANCI q2ESOl1RCE RECOVERY FEES: The undersigned understands
that Transparta#ion lmpact Fees.and Recaurse RecQvery Fees may appiy to�the construction o€new buiidings, change of
use in.existing buildings, or expansian 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 ideritified at the time of
permitting, It is further unders#ood tha#Transportatian Impact,Fees and Resource Recavery Fees musf be paid prior:,to
receiving a "certificate of occupancy" or final power release. If the,project does not involve a°certificate af occupancy or
final power release, tF�e fees must be paid.priar to perrnit issuance. Furthe�ore,-if Pasco County VllaterlSewer Im.pact
fees are due, they must be paid prior to permit issuance in accardance with applicable Pasco.,County ordinances.,� �
CONSTRUCTlOPI LlEN LAW(Chapter.713, Florida Statutes,as amend'ed): If valuation of work is$2,5fJ0:40 or r�iore, 1
certify that 1, the applicant, have-been pravided witF� a copy af tiie "Florida Canstructian �Lien Law—Homeowner's.
Protection Guide" prepared by,the Florida Department.of Agriculture and Consumer Affairs.� If�the applicant is someone
otherthan the"awner�, 1 certi�r that 1"have obtained a copy of the above described documenfarid promise in good faith to
deliver it to the"owner"prior to commencemenf. �
CONTRACTQR'SIOWfdER'S AFFIDAVfT: �I cerkify that all the information in this applicatian is accurate and #hat all:work
wiil be done in compliance with all app(icab(e laws regulating construction, zoning and land development. Applieation is
hereby made to obtain a permit to do work and. insta!lation as indicated. I certify tha# no v+rork or installation has
commenced prior #a issuance cif;a_permit and-that a(1 work wiil be pecFormed to meet standards of ali (aws regulating
canstruction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
certify that 1 understand that the regulatians of other gavernment agencies may apply ta 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:
- Deparkment of Environmental Protectian-Cypress Bayheads, Wetland Areas ant! Environmentalty Sensitive
L'ands,WaferNVastewafer'Greatment: .
- $outhwest Florida Water Management District Wells, Cypress Bayheads, 1Netland Areas, Altering
tNaterc�urses.
- Army Carps of Engineers-Seawalls, Dacks,,Navigable Waterways. '
- Depa�tment of Health 8 Rehabilitative ServiceslEnvironmental Health Unit-We1Es, lNastev+rate� Treatinent,
Septic Tanks. �
' - US Environmental'Protec#ion Agency Asbestos abatemenfi. !
- Federal Aviatian Authority-Runways. ;
I understand that the following restrictions apply to the use of fill:
- Use of fitl is not allowed in Flood Zane"V"unless expressly permitted. �
- If the fill material is to be used in Flood Zane "A", it is understood that a drainage plan addressing a
°compensating volume" wifl be submitted at time of permitting which is prepared by a professianal engineer
licensed by the State of"Flarida. , ;
- If the �II material is to be used in Flaad Zone "A" in cannection with a permitted building using ster» wall.
construction, I certify that ftll will be used anly to fill the area within the stem wall. }
- If fill material is to be used in any area, I certify that use af such fill will not adversely aff�ct adjacent
properties. tf use af 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�Il: an engineered drainage plan is required. �
If! am the AGENT FOR THE OV{tNER, t pramise in good faith to inform the owner of the permitting conditians set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, poals, air conditioning, gas, or other installations not specifically incliaded in the applicatia:n. A
permit issued shall be construed to be a license to proceed wi#h the work and not as authority to violate, cancel,'`alter, or
set aside any provisions of the technica!codes, nar shall issuance of a permit prevent the Building Officiat from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued�shall become invalid
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)manths after the time the work is,�commenced. An extension
may be requested,;in writing, fram the Building Official for a period not to exceed ninety (90)days and will demanstrate
justifiable cause for the extension. If work ceases for r�inety{90)cansecutive days,the job is considered abandaned:
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WARNING TC? OWNER: YOUR FAILIJRE TO RECORD A NOTIC� OF COMMENCEMENT NlAY RESULT IN.YQUR
PAYtNG T{NICE FCiR FMPROVEMENTS TO YOUR PROPERTY. tF YOU tNTEND TO OBTAIiN FtNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU OTIC OF GOMMENCEMENT. -
FL{3RIDA JURAT(F.S.147.03) ,
OWNER OR AGENT CONTRACTOR - - - ---— __ -_.,� _ _
Subscribed and swom#o{a�af�rmed)before me this 3ubs,cQribg,d and sw to{or a ed) efore thas
by ���F��—by � r7�' ,
Who is/are personally knawn to me or has/have produced Who i�(are erson I knawn to me or has/have produced
as iden�ficafion. �T�GGL� �j P S� as'sdent[ficatian.
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Notary Pubtic Notary Public
Commission Na C mmission Na= �r�t' [1�3�.'
����F}�/lV� �.'��'�L,C.. -
Name of Natary typed,printed or s#amped . (Vame of Notary - --
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��:�:��.,;DEBRAELAINERUFFELL .
?*: ;,_Commission#GG 045343
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