HomeMy WebLinkAbout17-18958 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 � 18958
, • ELECTRICAL PERMIT i �'l�,i �jf
- PERMIT INFORMATION LOCATION INFORM�ATI -
Permit#:18958 Issued: 10/19/2017 Address: 38741 CR 54 LOT 98 9 -
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range: �
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: '
Sq. Feet: Est. Value: Book: Page: '
Cost: Total Fees: 40.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: Date Paid: Par.cel Number: 02-26-21-0010-05000-0030
CONTRACTOR INFORMATION OWNER INFORMATION
Name: EAST PASCO ELECTRIC, INC Name: SLEEPY HOLLOW MOBILE ESTATES
, Addr: 10411 CONNERLY RD Address: 38615 LANSING AVE
DADE CITY, FL. 33525 ZEPHYRHILLS, FL. 33542
, Phone: (813)782-8622 Lic: Phone:
Work Desc: REPLACE METER AT POLE
APPLICATION FEES
ELECTRICAL FEE 40.00
��G� ����i �`�`3�"�'
INSPECTIONS 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 pertormed in accordance with City
Codes and Ordinances.
CO TRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
s�s-�saoozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting –
' Trl-i-fT �
owners rvame SLE�PY HOLLOW MOBILE ESTATES owner Pnone Number
Owners Address 38615 LANSING AVE ZEPHYRHILLS pWner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple TiUehalder Address SAME
JOBADDRESS 38741 CR 54 LOT 99 LOT# �
SUBDIVISION SLEEPY HOLLOW MOBIL PARCELID# 02-26-21-0010-05000-0030
(OBTAINED FROM PROPERTV TA%NOTICE)
WORK PROPOSED NEW coNsrR ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM OX OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIP110N OF WORK REPLACE METER POLE
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ � AMP SERVICE XQ PROGRESS ENERGY Q W.R.E.C. .y
QPLUMBING $ �„ A(�/
�n UO/J'— `�
// Lt�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l� ��.i
QGAS Q ROOFING Q SPECIALTY � OTHER "/ / � �/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO f ��
I
• �.s000 • e � vo • oaot � • e • ao • • a
BUILDER COMPANY
• SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMPANY EAST PASCO ELECTRIC, INC
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address 10624 US HWY 301 DAD CITY FL �icense# EC13003069
PLUMBER � COMPANY /
SIGNATURE REGISTERED Y/ N FEE CURREA ,.� Y/N
� Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y I N F E CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Atlach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, i
Minimum ten(10)working days after suhmittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisionsAarge projects
, COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary Facitities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
I SIGN PERMIT Attach(2)sets of Engineered Plans.
•"`PROPERTY SURVEY required for all NEW construction.
• Directions:•
Fill out application completely
Owner&Contractor sign back of application,notarized
I(over 52500,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'rf shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTtCE OF DEED RESTRICTIONS. The undersigned understands that this permit may be subject to"deed" restrictions"
which may b`e more restrictive than County regu{ations. The undersigned assumes respansibility for compliance with any
applicable deed restrictions.
13NL10EN5EQ CONTRACTQRS AND CONTRACTOR RESPONSIBILITIES� If the owner has hired a contractor ar
contractors to undertake work, they may be required to be licsnsed in accordance with state and local reguiations. if the
contractor is not licensed as required by law, bath the owner and contractar may be cited for a misdemeanor violation
under state law If the owner or intended contractar are uncertain as to what licensing requirements may apply for the
intended wark, they are advised to contact the Pasco County Building Inspection Division—Licensing Sectian at 727-847-
8009. Furthermore, if the awner has hired a contractor or contractors, he is advised to have the cantractar(s} sign
portions of the "contractar Block" af 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 iicensed and i�; nat entitied ta permitting privileges in Pasco
Caunty. i..
TRANSPORTATIfJN iMPACT/UTiLlTIES fMPACT AND RE84URCE REC�p:)�1�RY FEES. The undersigned understands
that Transportation impact Fees and Recourse Recavery Fees may apply i�fr�the constructian of new buildings, change of
use in existing buildings, or expansian of existing builciings, as specified in °asco County Ordinanc� number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, a4�;may be due, wiil be identified at the time af
permitting It is further understoad that Transportation Impact Fees and Re�;;�urce Recovery Fees must be paid priar to
receiving a "certificate of occupancy" or final pawer reiease if the project do�;�s not involve a certificate of occupancy or
final ;�awer release, the fees must be paid priar to permit issuance. Furthern�;��re, if Pasco County WaterlSewer lmpact
fees are due, they must be paid prior ta permit issuance in accordance with app�:�:able Pasco County ordmances.
CONSTRUCTICiN LIEN LAW(Chapter 713, Florida Statutes, as amended). I�'valuation of work is $2,500 p0 or more, I
certify that I, the applicant, have been provided with a capy of the "F{orida-Canstruction Lien Law—Homeowner's
Protection Guide° prepared by the Florida Department of Agricuiture and Consun��r Affairs. If the applicant is someone
other than the"owner", I certify that l have obtained a copy of the above described c!ocument and promise in gaod faith to
deliver it to the"owner" prior ta cammencernent. �
CONTRACTOR'SIOWNER'S AFFlDAVIT: 1 certify that a{I the infarmation in this ap,3tication is accurate and that all work
will be dane in compliance with all applicable laws regulating cons#ruction, zoning ar.c+ land devefopment. Applicatian is
hereby made ta obtain a permit ta do work and installation as indicated. I certif;�,that no work or installatian has
commenced priar to issuance of a permit and that a{! worlc will be performed ta met,� standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regu<<itions in the jurisdictian I also
certify that I understand that the regulations of other government agencias mey apply to'�he intended work, and that it is
my responsibiiity to identify what actions ! must take to be in compliance. Such agencies inciude but are not iimited ta.
- Department of Environmental Protectian-Cypress Bayheads, Wetland Areas`�nd Environmentally Sensitive
Lands, Water/tNastewater Treatment.
- Southwest Florida Water Management District-Weils, Cypress Bayheads, Wetland Rreas, Altering
Watercaurses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewatsr Treatment,
,Septic Tanks.
- '��lS Environmental Protection Agency-Asbestos abatement.
- F�ederai Aviation Authority-Runways.
1 und�rstand t��at the following restrictions apply to the use of fill•
- Us�e af fi!! is not allowed i� Flood Zone"V" unless expressly permitted
- If tne fill material is ta be ussd in Flood Zone "A", it is understood that a drainage oian addressing a
"con`�.pensating volume" wiN be subrrtitted at time af permitting which is prepared by a pr«�essional engineer
licen��d by the State of Florida.
- !f the�'��1, materia! is to be used in Fload Zone "A" in connection with a permitted buildin�,� using stem wall
constru��j�ian, I certify that fiil will be used only to fil!the area within the stem wall �
- if fi(1 mait�rial is to be used in any area, I certify that use of such fill will not adverselt�: affect adjacent
properties.`,,lf use of fill is found to adverseiy affiect adjacent properties, the awner may be c,ifed far violating
the conditic�`�s ofi the building permit issued under the attached permit application, for iots 1e;ss than ane (1}
acre which ai�,elevated by fill, an engineered drainage plan is required
If I am the AGENT FOR T;:IE O�iVER, I promise in gaad faith ta inform the owner of the permitting conditions set forth in
this affidavit prior to comm�:�,icing construction. 1 understand that a separate permit may be raquired for electrical work,
plumbing, signs, wel{s, poal;Z�,.,air cc�nditioning, gas, or other installations not specifically included in the appiication. A
permit issued shaii be canstri?d ta be a license to proceed with the work and not as authority to violate, cancef, alter, ar
set aside any provisions of the;�chnical codes, nar shali issuance af a permit prevent the Building CJfficia{ from thereafter
requiring a correction of errors.iri�?�lans, construction or vialatians of any cades. Every permit issued shall become invafid
uniess the work authorixed by sue:x� permit is cammenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandos'1�=d for a period af six {6) months after the time the wark is commenced. An extension
may be requested, in �n�rifing, from t��� Buiiding Official for a periad not ta exceed ninety (9Q) days and wil! demonstrate
justifiable cause for the extension (f��i�rk ce�sea far ninety (�0) consecutive days, the job is cansidered abandoned
WARNING TtJ t�WNER: Yt�tlR F,�tL;.;R� 34 �ECORtJ A �lQT4CE QF COM14�lENCEMENT MAY RESULT liV YOUR
PAYI�IG TINICE FOR tMPROVEMENI'S.TO YOUR PROPEE2TY. 1F YDU INTEND TO C}BTAtN FtNANGI{VG, CQNSULT
WITH YOUR�ENDER OR AN A,T'�ORN��! BEFe�RE 6tV�CORt�ING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F S. 117 03) �
OWNER QR AGENT CON7RACTOR��.�'� .��-� ��c�_
Subscribed and swom to{or affirmed)before me this ' ~ ub cribe and sworn to{or affirmed}befare m this
by �by �i�
Who islare persanally known to me or has/have produceo h islare personally known to me or has/have produc
as identification. _ _ as identification.
�
Notary Pula ic �'�"'�`���'� Notary Public
Commission No Commission t�o
Notaty Publlc State ot Flarfda
Narne of Motary typed,printed or stamped Name of Notary type , � o�ast��misslon FF o86632
�PN.��r ExPiieso1/2 612 0 1 8