HomeMy WebLinkAbout17-18997 GiTY OF ZEPMYRHILLS
, 5335-8th Street
` (813)780-0020 18997
ELEGTRTCAL PEItMIT
' PERMIT INFORMATIQN � � Lt7CATiON INFO.RMATlON
Permit#:18997 tssued: 10/3112017 Address: 5943 10TH ST
Permit Type: ELECTRICAL M1SC ZEPHYRHILLS, FL.
Ctass af Work: ELECTRIC SERVICE REPLACEME T Tawnship: Range:
Proposed Use: NQT APPLICABLE Lot(s): Block; Section:
Sq. Feet: Est. Vaiue: Book: Page:
Cast: 2,000.00 Total Fees: 45.00 Subdivision: CITY t3F ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 10i31i2017 Parcel Number: 11-26-21-0010-00600-0020
Ct�NTRACTOR INF4RMATION GWNER INFORMATION �
Name: PATTIE ELEC. & REFRIGERATIQN Plame: LAVIIH(�RN LETA
Addr: 39111 PATTI RD Address: 5943 10TH ST
ZEPHYRHILLS, FL. 33540 ZEPHYRH{LLS, FL. 33542-3564
Phone: (813)782-3319 Lic: Phone: 813)335-5840
Work Desc: UPGRADE SERVICE 100AMP TO 15QAMP
APPLICAT N ES
ELECTRICAL FEE 45.00
� INSPECT REQUI E
ROUGH ELEGTRIC
CQNSTRUC710N POLE �
PRE-METER �
F{NAL ' �
��p� ..
REINSPECTI�N PEES:(c)With respect to Reinspe+ction fees will comply with Fiorida Statute 553.80(2)(c}the
locai government sha11 impose a fee of four times the amaunt of the fee imposed for the initial inspection ar
first reinspection,whichever is greater,for each such subsequen#reinspection.
NOTICE: In addition ta the requirements of this permit,there may be additional restrictions appiicabfe to this properly that
may be found in the public records of this caunty, and there may be additionai permits required from other gavernmentaf
entities such as water management, state agencies or federal agencies,
"Warning to owner: Your failure to record a notice of cammencement may resulfi in your paying twice for
improvements ta yaur properEy. If you intend to obtain financing,consult with your lender or an attorney
before recarding your notice of commencement."
Complete Pians, Specifications and Fee Must Accompany Appiication. All work shal! be performed in accardance with City
Codes and Ordinances.
CC?NTRACTOR PER OFFf
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FC?R INSPECTION - 8 HUUR Nt?TICE REQUIRED
PROTECT CARD PROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-7$Q-0021
Buitding Qepartment .
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Date Etecelved . ;. phone>Contact fcr Permtttln � �
Ovrner's Name 1.�,) QE'�` Owner Phoee Number
Owner's Address � "G dwner Phone Number �� � �
Fee Simple TlNehblder Name �� � f7rwner Phone Number � �
Fee Stmplei Titleholder Addresa
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JOB ADDRESS � L/ LOT# �`�
�
su�aiv�siaN � � � p�c��.i�� l�� ����1 b—' 6���DD-�
� , , (OB7AINED F;ROM.PR4PERTY.TAX NOTICE)
WORK PRQPOSED . ;NEW CONSTR ADDlAI:T � S(GN` Q Q DEMC?LISH
i
e INSTALL 8 REPAIR
PRQPOSED�USE Q SFR Q CON1M � ` �� •OTFIER • �
TYPE OF CON37RUCTION Q' ''~BLOCK " C] FRAME �] STEEC '[� �
DESCRIP7I,OH OF WORK� .. �� �-C C� jO�I ��"�. � i"f' � � �v P VjC'C
BUt�DING SIZE - = SQ FCtOTAGE C�, . .,,HEt,GHT-��
1
D�����N�`' � VAI.UATiOfil:OF`TCi'i'ALCtONSI'RUCTION F• ��
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�ECTRICAL $ ?��b" � AMP SERVICE 1�� �pROGRESS ENERGY [� W.R.E:C,
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OPi.UM81NG�. '� � _ ,
; � �� � �
QMEChiANlGAL $ - VAI:UATION OF:MECHRNiCAI INS7ALlAT10N ��
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[�GAS [,� ROOPiNG .Q SPECIALTY � QTNER� �'/Q 2 �
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FINISHED FL.00R ELEVA710NS � � FLOOD ZONE AREA QYES. NO
BUII.DER COMPANY� ° -. -
SIGN�►TURE REGISTERED Y/ N ' FEE CURttE� Y/N
Address Llcense.#'I ` �
; _ . ` �
E��cr�cr;a�+i, �coM�n�tir � J� .�C t� � �-' � � ��1`� ��
SIGNATURE � REGISTEREp Y/ N FEE CURRE�`��' •Y N
Address .L �' � , � t _ License# ��G� I���L��
PLUMBER` , .-CQMPANY � ,� .
SIGNATURE REGIS7EREp ,Y./..N,= �FEE�CURRE� ' Y�/N. k
Addre�s , - � ' `;License# t: � -= �� �. ,
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MECFlAl+IICRL' ' � , _ .C.OMP�4t�E1f - -. . : .. • '
SIQNATURE � " REGISTERED .' , Y./ N {FEE-CURREA� Y./:N
AddrBss - ' ' - ` � z ' l.iCenS9# � ' �
O'iFtEt2 ° - - ,• . . . ,;Gt1MPANY � �
Sl(3h1ATURE -. i• ��"�"a- ' ` ' ' � ` " REGISTEF2ED Y/ N�_ FEE CURRE� Y/N-
Addeess = ' .,. :<_ �.. . I.icsrise# � -� rv�' ° , .
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RESIDENTIAL.��: Aitacti�{2};P[aticPlan's;�(2}se#s.of:Bultdiitg=Plar�s,(1),seEofyEisergy��airns;:12=�W�.Perm,lEfcrnewconsbuctEon, '��' ' .
� - Mtnimum;ten�(:1,0)�wortiing�days,�after,;subm(ftal dat"e.'�.Requlreil onsite;:Constiuchon Plans;-Starmwa�ter Plans w%Silt Fence instaileif,
:___..c��n(tary Faclll8es;.&;1r,dumpster;Slte�,Work�:P,,etmitfor;subtlivisians/Iatge-proJects,-==Rn.�.;,; . . ' -� .` _= ,
COMMERC114L Attach(3paomptete sets af 8ulldliig Pians plas a Life S�afety Page;{1}set cf Enengy Farms.R-O-W Permtt far new constructi0n.
Minimum ten(10)working days'after submithal date. Required onsite,ConsWatlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facifltles 8�1 dumpster.Site Wark Permit for all new,projects:�.All cammerdal requirements.must meet compllance
S1GN PERMFT Attaci`i{2)s"s#s�iif'Engin�eer.ed;F?ians:,,��.;._;_ ,. :.-� � - ,. . .
`"'•PROPERTY SURV�Y required for all.NEW,construction.
Dlrectlon�: ... - �. ' ' _
Fill out applicaUon completely.
Owner 8�Contrackor slgn back aE applicaHon,notarized
tf over$2500,a Natice of Commencement 1s reqaired. {AtC upgrades aver�"TS00)
,..,�.<,r�:�,:,:;..�
" Agent(for the cantractor)�or'Power of�Attortmey(for tFie�owner)would ba someone with�nota�ized letter from owner authorizing same
dVER THE COtlN'T�R:PERMIT'TlNG�.• --- .(Front of-Applicatton Or�iy}- . ,
Reraafs if shingles Sewers Service Upgrades AJC Fences(Plot/Survey/Foohage)
Ortvewaya-Not over Counter if on putatic roaduvays..aeed`s ROW �
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1 u 1 ned unde�tands°:t �t<thl��. rmi��. ,sub c #�.dee e o.
NaT10E Ci�DEED RESTRICT ON�: The nd�g h . ..p� ... mayGbe r,Je t, d,:�!'. St[IC�I ,�lS
�.. .. . .. . . .. . . .. ;.• ,--...-,, -..,,;:...-.;,�, ,_- ,.c,,,,,-. :,...,.�,,.,..:.�,,�ac.-:.. ,,...;; , r,.,: ,. .,. , .
which may:be�more°=r.�strlctNe=thai�Courity�regr�lafCons:-~TFie`under"slgnad��''sssumes-respon�ititltly.for aairipilance�v�iriitli`�any�M T'� ���`'�
appllcabte deed restrlctbns. .- ::. �:,� .. . - -;. , • . . _; ...,:: : _. � .1
,_ .� � .. . .. . ._.
UNLICENSED�'°CONTRACTt�RS Afi�D CON�'RACTCiR RESPONSI�tL1T1�S: �ff-tlie°=owner has�'hired'a�:ctintr�c#or or
contractors to undertake work, they may;be:�r�quired�to-be„Ilcensed'In..accordance.wtth-state.andylocal�,regulatlonss,��If°the°��° =`�n��
- � .,�
contractor ts-not ltcensedi'as'requlred,`tiy law, bo#tr�#he awner anil-t�ntractora�may�ba�'~cited �r°°a mi"s�emeanor violation
under state law. If the owner or Intended;;,co,ntr�ctvr;;arel�uncertaln as to what Iicens�ing.regulrements,;may�.applyf�fur='the`���=°�� �> '�
fntended"iniork�ltiejr aire�advlsed to coittact#he Pascn-�County Bullctlrig Irtspectio�i Qhrlslon-.-�fcensfng Sec#ion at 72?-847-
8009. Ftirttiermore� if the ov+iiier"iias�Filred e contraic`tor o�contractors, he ls advised ta have the cantractor(s),.sign , ._ �
. .,c,<„��.� ., -
porNons of the�,°contrector,81ack" af,this�appi(cation._far..whiQh they,.wiD.be�.r.e�ponslble.--.If;.you;-as:=,the owner,sign�as tlie''`"'�`�"`'�µ
con#t�ac#ar,_#hat�tnay be an I�ii�tion tha�t'i�e"Is`riot�ropetly llceiised arid'�is"n6t�entl�ed`fo perii`ilttfng pr�tlleges In Pasco.. . _
County. " _ . � .,w ... 4,;�_<,���. . .
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TRANSPt?RTA7iON:IMPACTIUTil:iTlES�lMPAC'�ANt?-1tESQU�tCE RECOVERY�FEES:�T�he unde�slgnediinde�starxds
that Transportatlon impact Fees�and.Recaurse,Recovery�Fees;may�:apply��:to:the;cons�truction.of new_buildtngs,<chan�e:�of'�"�� `��� "�'
use in exis8ng bulldings,°or�sexp`a�:i�i�n��of,�ezls#i�i�gabulldings� as sp�eclfled.ln Pascv County Onlinance number 89-07 and,.
90-OT. as amended.,�,:,The undersigned also;�tinderstands, t�at:�such fees��,$s�tnajr:be�..due;�wi11.}be tdenfiffed at fhe�time`of��`v �u"� �'f
pe�mitting. It is fiirtFier understoo� that Transp'ort�tlan Impa�ct�Fees and Resource%Recovery=Fees:.must be paid prinr ta
recelvfng„a°cerflfiicate:.of occupat�ay"'�ar�flnalhpower;.�elease: :i�-the proj�ct:.does=.not:lnvolne;a::certrt#�cate of accupari�cy�ot:=�'t�-".�'_
flnal power release; the>fees'mu�t�'be'paid`;p�iar to�permit issuance. F�lthermore;-if.PascoYCounty�llVater/Sewer,.rslmpact� -� ., ..
��, .
fees are due�,they�must.be;paid;prior,�o permlt.issuance=in-accordance wltt�:aPplicatilei-.Pasco�.County��rilinances. •
CONSTRUCTIC1i�'CIEN�LAW tC�iapter 713�FtoNda�tatut��,as amendedj: tf vatuaHon of work is$2,500.QO;or more;,l� :�- =;µ,#� �
certify tFiat I, !he -applicant;<-have.:been provlded:�wtth:-a-copy�,.of_they"Flor(da��Canstructlon�Lien.:Law�-�Hameowner's
Prot�cllor� Gulde" prep�red by tite`Flo�da Departmer�t�af Agr�cultctre and Gonsumer.;AfFalr's. If#he appltcant ts someone: . > : �2�
, . ,.... ,.,,p ,,, . ,- -
other than the'owner", I certlfy_that:l�h��e,optatnedfa'c:opy,af..#he;aboye.�desc�ibied;tlocument;and::p..r.ori�i,s�in,goodu�fai�h t'o . ,�.:
deliver!t to.the:"owrier�:piior#o-co�ramencement:"': � ° �-• : . � - . - . : `� ., -
CONTRACTOR'S/OWNER'S AF�MDAViT. i.certitjr•,:tti�t:alb;the�{nformatla��n�.in'.thl�appltcatlan is accurate$nd that all�work
will'be done in compitance with all applicabfe laws��gulating constructlan. zoning and��land�'development. Appltca#lon,is
hereby made ta abtaln�.a.per.mit,to=do.work::;�nd�Iristalla#ion as Indt�ated:.;�.1� ceyY,tity 'tti�t no work.or instatlation t�as.
,; :,� .< . ,
commenced p�tor to Issuanae of'a permif"and that:allMwork will be performed to meet.standaTds�of:all laws �egulati�ig�
constructlon, County �nd C1ty codes, zoning regulaliQns, and land devetopmer�t r.egt�la�on��In`f�ie ;urtsdicfion.: I.;al'so:. . _
certtfy that I u�derstand that the regulatlons of athe�government agencies may�apply�to the._intended_work, and thak it is
my responsibility to ldent(fy.what.�ctlons 1 must�t�ke:to,be,ln�comp!larac�..Such;�gencles-include�bu#=are�.no#1lmited to. { -
- Departmen# of E�vironmentafi-�Protection�Cypre�s.`Bayh`ead�; We�and Areas and Envtronmental�y Sensitive m
Lands,WateNVl/�stewaater Treatment. � -
- Southwest Ftorida Water Mana�erz�ent�:D�strict:Vltetls, •Gypress.�Bayheads; Wetland Areas, Altering
Watercourses. a .
- Army Corps of Engtneers-Seawaiis�Docks,Navtgatile Watetways.
- Depar#ment af,Health�;& Rel�abilitathr.e;.,Servtces/Enviironmental�Health Unit Welis,.Wastewater=Treatimen;t, •
, -� , . . .
Sepklc Tantis::� - � - -� - - .
- US Envlronmenta�Protection Agency-Asbestos abatemen�.. -
-FederaFAvfativn:Autk�orlty-Runways: �� ,� ��,
!understand that tF►e foilow�ng.�estrlotlons sapply�to tFie use of ftit:
• Use af fill is not aliowed in,Flaod;Zone"V"unless expressly permitted. �
- if the..fill�material�is #o�`b.e used_�`In::�Flood-Zone. "A", It. ts understood that a drain�ge plan addresstng '�
°'compensating votume"wiil be submltted a#�me of�permifting whlch is prepared by a professionai engineer ` �
Iicensed by°the State of-Flofida:� � �� � . _ _ ���
- If th� fill�material�.Is to�be�us.ed in Ffoad �one "A" tn>c+annec�io��ti�rlth�a���rml#ted btallding using stem wall_
construction, l certify_th.at ftll�:wJll.b.e-used only.to.fill the area within�the�stetn waq: '
- !f fil! material Is�to �be� use� ln any area, 1 �certt�jr that .uss. af such flif wll# not adversely affect adjacenf
propsrties. if use of,fill is foctnd to adversiaFy:�ffect ad)acei�#prctpe�ties,.the owner may be ctted for viol'�ting '
the candi#ians�:of..the bulld(ng;permit issued�u�der the�at�acFied,pecmit applicatlon,-for lots�.less=:than�one (1)
ar.re virtiict�'a�elevatecl�6y flli,��t engtneered d��tnage plan ts required, • . ;
If I am the AGENT FOFt THE OVIINER_, I;promise in good falth to inform the owner of�the permitting conditlons set farth in
this aKdavlk�prtor�to�commeracing constructlen. 1 uride�rstand tttet�anseparete permEt may be tequlted for etectrtcal�work,
ptumbtng, signs, wells,,poofs;, air.condfitianing,.gas.�;or..othec install�tions noE�spec�icaity lncluded�in.tMe appiicatian. .A
permit Issued shall be constn.ted ta'6e��a'license'�to�proceed wMth"tNe work�anil:.not°as~euthoNty,:to:.vlolate;ycancel. alter, o�
sei aside�ny'pmvlsfons of�t#te.technlcaf,c�de�;;nar shall tssuance nf a.permlt.prevent the Butldirig O#i�cta�from thereafter
requir(ng a correctlon af errors:in;:pians; canstructlon:or violatlons of�any-codes:�-.Every permlt�issued sfiall�becon�e Invalid
unless ihe work authort�ed.by such permtt:�is_ca�nmenced•wlthfn s�c�nonth� of�pe�rn!#lssuance, or If wark authorized Eiy
the permit is suspended>cr:aba�doned-for a;period;�of�six:E�)�montiis...after,the,tin�e.the�work��s commen�ed. An extensio�
may be requested� In writing;.�from the;�Building,Official-for a period�not=to exc"eed'=:nitiety�(90)�day� and�wily demonstrate
just�iableLLcause foc�the e�ctensio�: If work ceases:for nlnety.{90}cons.ecutive�days,..the��ob�is considered aba�daned. �
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WARNtIVG TO OWNE1�; YQ.Ul�aFA1LURE,,�'O�sR�E.CC�EtQ�A;NQTICE..CIF.�COMMEMCEMEI�T:�11tAY�R�SUlT1N��tC1UR
PAYING TW.i.CE..1=01�-iMPROVEMENT3�.T��YElUi�.:PItQPER�IY:?�,IF�.YO.U�iN'�EM�D'TEI�'�OBI�AIN�F1NAp�'iNG;'C.ONSULT
Wi7 -� , � � -A �A�'9'.. iV �� CA'@tL4.� O . :�, �49 � . E � . - � - --- _ __ ._
F�ORIDA.ltJRA�{F.S�1.17.03} .. , , , . ._ �
,_
OWNOER OR AOENT. CONTRAGTO �
Subscribed arni swom ta(or etRrmed)before me this Subscrf6ed and'suro �bo t afllrmed)• efore me`ttii�.' "
by �by-
Wlio Islare pe►�onalty knovm ta.me.or;hasihaae produced , Who.te/are p.ersonal own�kn me;or.heslhave:praduced
;. , a�td'ent�RcaBon. as Identi�catlan.
Notery Pubila . Notary Publlc
Gommtssbn No: Gots��ts�ian Na, ,
Nar�e af lVota�ry typed�Printed or starnpad Name of Nalary ikped�Prin#ed ar st�niped
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