HomeMy WebLinkAbout17-18998 4
_. _ � CITY OF ZEPHYRHILLS '
' � 5335-8th Street
(813)780-0020 18998
ELECTRICAL PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit#:18998 Issued: 10/31/2017 Address: 4820 GORDON ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 600.00 Total Fees: 40.00 Subdivision: WINTERS
Amount Paid: 40.00 Date Paid: 10/31/2017 Parcel Number: 15-26-21-0030-00100-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: WESLEY CHAPEL ELECTRIC LLC Name: WINTERS MOBILE HOME PARK INC
Addr: 25678 INKWOOD PLACE (POBox 7297) Address: 38022 WINTER DR
WESLEY CHAPEL, FL. 33544 ZEPHYRHILLS FL 33542-5544
Phone: (813)973-1141 Lic: Phone: 877-217-1389
Work Desc: REPLACE OUTSIDE ELECTRICAL PANEL
APPLICATION FEES
ELECTRICAL FEE 40.00
�
� �
INSPE� TIONS REQUIR D
ROUGH ELECTRIC
CONSTRUCTION POLE r
PRE-METER �t
FINAL �
�i�i�2�3�%
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.
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CONTRA TOR PER OFFI
PERMIT EXPIRES IPI 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�aasaoo2o City of Zephyrhills Permit Application Fax-813-780-0021
'' - � Building Departrnent � `
Date Received � ° P.hone-Contact for Permiltln ��� /3 _o J�' �
Owner's Name E'�'/�� ��ts� Owner Phone Number O / / Z�7�3� ,
Owner's Address - D�� v �� �y ST G �1 Owner Phone Number .
� � � '- `
Fee Slmpls;Titleholder.Name L�7`r�1�'`� LfJ�ZSro� Owner Phone Number
Fee Simple�Titleholder Addresa S�� v�C��� .
JOB ADDRESS �C� /"L��'C�- �T /// LOT# �.
3
SUBDIVISION ���� � ' .17� P.ARCEL I�# ' •
, (OBTAINED FROM PROPER71f,TAX NOTICE)
WORK PROPOSED , �,NEW-CONSTR . ADD/AlT �` SIGN Q ' Q DEMOLISH
, _ �.8.; INSTALL 8, REPAIR ^ -
PROPOSED�.USE � Q SFR• [� -COMM `Q �OTHER �
TYPE OF CONSTRUCTION Q'� BLOCK " Q FRAME � �Q STEEL Q
DESCRIPTION OF WORK G ��— Q���`�� ��'�L
� -
BUILDING SIZE "SQ�FOOT�IGE�, . � ,.N@I,GHT���. , .
QBUILDING $ VALUATION�"OF`TOTAL CONSTRUCTION '� �' `
�LECTRICAI $ - �,q AMP SERVICE J� � -PROGRESS ENERGY Q W:R.E:C.
CiL�
QPLUMBING � �$ _' � .
� � � f� � �9�
QMECHANIGAL $ VACOATION OF;MECHANICAL INSTALLATION �I"l/�
,. ;1�(
_�
QGAS Q ROOFING .Q SPECIALTY.Q OTHER• •
FINISHED ELOOR ELEVATIONS FLOOD ZONE AREA QYES. _NO
BUILDER COMPANY=' -� �- ✓
SIGNATURE REGISTERED Y/ N FEE cuRt�K ' Y`/N' .
Wddre�s � Cicense# � '
.
, ; . � �j,��
ELECTRICIANI; � -�COMPANY ��i � G.� �—(,�-�"����
SIGNATURE �� /I / � —"� � REGISTERED Y/ N FEE CU RE�`' ��Y/N
Address �:'C:j�� ��� t• �� C.l�� G�;:.; ' � - ::. License# = , �i�5 � �,
PLUMBER; . � � CONAPANY ...� . ' '_
SIGNATURE` ` ; _REG�sTEiiED � Y/�.N"i `�_ F.,EE CtlRRER YI N . -
Address ' � - � t Li'cense,# � .. � _ .
, . ,,
MECHANICAL " - - .. •. C,.OMPANY_, ' . - : , ' �
SIGNATUPZE • fi� � � " ^ ' ��� � REGISTERED_y Y:/-N . ; FEE CURRE�;_ = , Y./'rN -
Addresa°`--�-°' , ` • . , .°` ' , • , . ' ` ' License# -
OTHER `� � . - . _' r;COWIPANY, ,
,,
SIGNATURE � - " ' • � ' f " REGISTERED' ` Y/ N.. �FEE CURRE� . Y/N. ,
Address '-- ._,_, . ,.j� -•- � � ,� - .. ' License# " ' � .
r. ., . . .
RESIDENTIAL:;:: •Attacfi�(2)„Plo.f Plans;;(2)sets:of�Bulliling�`Plans;'(1)�set'of�Eneigy,Forms;R=O=VV;Perinit far new construction,
, . - .�. . ; :..,. . . , .. .
� .. .. - . .. . ,- .. • -
:.,;� , ...
• � ;,;��-,Minimum�ten;(1A)�working�days aftet.submittal date:<R`equired onsite;:Ctinstructlon Plans,�$tormwater Plans w/Silt Fence installed,
' � �SanitaryFacllfties,s&,,15dumpster;Site�WorkuPermitfqr;subdivisions/Iarge�proJecfs,�.-� ,��• �
COMMERCIAL Attach(3)oomplete'sefs of'Building Plans plus`a Life S�afety Page;(1)set of Energy Fortns.R O-W Permit�for new construction.�
Minfmum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilides�1 dumpster.Site Work Permit for all naw.projects:.All commercial�equlrements must meet compliance
SIGN PERMIT Attach(2)"§efs of�Eng,i'neer.ed;Plans:,.��._:-:-`•. -: . .� • "
••••PROPERTY SURVEY reyuired for all,NEW construcHon.
Dlrectlona: °� ��i: � , • �. �
Fill out applicadon completely.
Owner&Contractor sign back of applfcaUon,notarized
If ov�r 526�0,a Nottce of Commencement is required. (AIC upgrades over;7500)
'" Agent(for the contractor)�or'Powe�of Attomey(for ttie owner)�would be someone wiith notarized letter from owner autho�izing same
DVERTHE COUNTER.P:ERMIT�TING � ---,-(Frontof-Appllcation�Only) - � �� �`_
Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) _
Drlveways-Not over.Counter If on public roadway"s::�eed`s ROW
:f
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NO't'tCE 13F DEED RESTRI�TIONS: The undersigned,un�er�tan,ds�:th�trthls°p�rmlt�.may;b,e;sub�ect,,#o.".,deed"restrlctions" �- .
. . . �. ...�.�.&... . ,}..": : ` k , . . .r `: ' r
.....,,;r..»..,
which may tie;more�,rest�iattve,t#i�I�Couiify�r+egulatlon's:��TFie�uridersigned���ssumes respansibiltty for campitance with'�any" ' � Y'
appllcabte'deed.res@�lctlons. - :�.:,.- . � ' ' , � ' � .; - � , _ .,-.
UNLlCENSED CONTRACTORS AND CON3'RACTOR RESPONS181C;1Tf�S.t �°ff�#he��oinrner�h�as�`fiired.�a"aentractar or
contractors to undertake work, they.may;beire�qulcefd:�to,�be4ltcensed-In.accordance.wrtth state.andylocal:regulations:,�lf=thee= �'- :�:�'�
contractof.ls=not license�:`as�reqtileed"by law. bot#i'the ovfiner anid4confsactor�m�y be°�cited for=•a mistlemeanor vialation
under state law. If the owner or Intended:co,ntractor,are_�uncertain as to what Ilcensing..requireKnerrts;;may�,applynfar�'the' � �-��
fntended v�ork,thep a`re'aclvlsed tb corit�ct the P�sco Couqty Bulidliig'Inspectfonr.Dhrlsloir�,-ltcensing�Secttan at 72T-847-
5009. Furttiermore, tf the owrier"Fias�`hilfed a�co�U�ictor ci�contractors. he is aiivlsed to have =the cantr,actor(s), sign. _...._ , �
portions af the�,°contn�ctor plock° nf..this�application,for.whlah.they.,will.�b�e:responsible:,�lf�you;jas�,the o��wner"'sign'�as°`the' -'
contracto�, tha#tna3r be an indFcation that he`-is nvt`piroperiy'licensed�ani#°�Is�not entl�ed tii permiittfng priulleges In Pasco
County. . � -� .,, . ,.. . �. . �;:�..__. _ .
TRANSPORTATION.lMPACTIUTfL:iTlES�lNlPAC'��AHb M�E�OU�tCE REt�OV�RY�FEES;�The undeislgnedYiiriderstar�ds
that Trar�sportation impact Fees and.Reco.urse Recovery.Fees rriay�:apply:.to�tite,:construction.of new_buildings,�change�'of�x' "=��•°}�
use In existing buildings, or-�expa��i�n��of'�ezistiin,g:�buildings,a§ sp�cifled.ln Pasco County Ordlnance number 89-0? andu
9�-U7, as amended...�;;The undecsigned also3�u�ders#ands� that�such fees,�;as��m�y:tie:.,due;�wi11,�6e�dent�ffed at fher�tiiriewof�:�' ,;'•;'� °:
permitting. It Is ftirtFier understood that Traiisp'ortation Impact�Fees and�Resource:RecoVery��Fees,.mu�t be paid prior ta
rece�vtng-a'certtticate�of:occupa�cy"or�#inal�.power�:release.� :l�the.proj�c�:does�not irnolve.a:.ce�ti�cate af accupancy�or��-�:°_'_ f;.
finai power-�rele�se;„the>;fees�-.mus�t;�be paid":�pc�or to.permft Issuan'ce. Fu�#k�ermore;If Pagco.�County�`1Nater/Sewer�.lmpaat � � .. .
fees a�e due,.they�m,ust:be=paid�prlor„#o^permif:issyance=:ln.accordance with.appltcabfe Pasco�-County�orrlinances. � �
COIdSTRUCTtClN°�lEN`LIRYV(CFiapter 713�Ftort�a$tateate�,��mendea�}; if valuallon of work is$2�500.00;:or more.;:F��: _.r,;s;° �
cer#ify that I, -�he.-applicant;. have->be.en proyided=�with a �copy of.:�the:�"Florida°�Canstructlon�_�Glen°Law Hameow�ar's
Protectlor� Gulde".prepared by�ttie Floi�da Depiartmenf of AgrlcufEure and Consr�m�r;Affairs. If the app!{cant Is someone:�-. • .
other than the°owne�', I certify-th�t.i;.h�ve,ob.tatned�a�copy;of.#he�abov��e,sc�ik�ed"document;and:p.r..o�ise;in,good�fa�ith-fo �. �;
deliver It to the.�"oYirner"�:pi�oc�:to�corrimencement.',; ` _ .. " , � .`. , =:t:�. - .. � � -
CONY�tACT�R'S/OWNER'�A�FIDAViT: i.ce,r'tifjr::#iiat>.all.#he�lnfarmatian�ln.tht�appltcatian is accurate and that all work
will'be done in compilance w(th all appitcable laws regulating construc#ion� zoNng and,_land�developm�ent. Appltcatiora is
heteby made to ob#atn.�a.permit;;to;do:�wark,..�nd I�istailatlon �s ind{�s#ed:�.,��1 cettify tliat rto work?or tnstalta#ion lias
commenced prior to issuance of`a permit�and.that'.all work will be performed�to meet.skandards of all laws �egula�ing•
aonstructlonT County and C3ty codes, zoning regulatiQnsf and lar�d development r.egiala#ions�tn'tfiie:Jr�rlsdictlon.- I��Iso -
cerkify tha# i u�derstand that the reguiatians af other govemment agencles may�apply�to the_int�nded.w�rk, and that it is
my respon�ibility to identify.what.actlons 1 must�t�ke:M 6e,ln:.corr�pllar�ce;.S,uct�:agencles-Incfude but-are.not lfmited to: _ -..
- D�partment af E�vironmentaf>�Pro'tectEon=Cyp'ress'Bayti'eaii�;�VVetiand Areas and Environmentally Sensittve
Lands, llVateNWa�stevv�ter Treatment. ' �
- Southwest Ftorlda Water Management�:Dfstrtct:ltVelts;" Cypress.r Bay��ads; V1►etland Areas, AI#e�3ng
Watercourses. , ,s � � �
- Army Corp�af Englneers=Seawalls,Docks,Navfgatile Watecways.
- Departmant of.H+eatth�:,� Re�aabilitafiv�;$ervices/Envitonmental.-Neatth Unit Weil.s; �WastevKater�Treatment, -
Se�tic Tanks:_ '� " : - -- ,
• US Envlronmental Protect�on Agency-Asbestos abatem�nt. �
Federal Avlatlon_Aulhocity,=Runways:��-� ' �
!understand.that.the fallouvlrig:.Festrlctlons appiy fia"the use of fllf:
- Use of fiii is not aliowed in;Ftood;Zone"V"unless expressly perrnitted. �
- if the:-flll. mate�laf is to be used:In-�Fload Zone. "A", (k. is understood that a drainage plan addressing a
"compensating volum�°w�ll be sub�itted a##ime of�permtttirag�nr�lch is prepared_by a profes�io�tal engineer
Iicensed byy#lie�t�te of�Florida: � � - - � �
- f##h��f�ll mat�rtal�is°ta�:be;used In �lood 2one 'A" in�connec�lon•vv3t��a��ermltted buitding.using stem wall
. consUuctton, I certify that fiil:wJp=b.e used on�y to.fll)the area wiithin�the�ste�n=v�ll:
- !f flll material�is'to b� used'In any area, I certify tfiat .us� of:suah�fill will not aclversely affect adjacent
praperties. if use_af_fill is,found ta advers�ly:�ffect adjae�nf pcopertfes,.the owner may be cited far rrioi'ating
the condllfons_of.the building�.permi# fs`sued�under the4 attached._permit a�ppllcatiQn;far lots�:less-:than_one (1)
acr�wlilait are elevatetl'6y�!!,a�t attgineer�ed d�alnage ptat�is requlred. ;
If i am the AGENT FOR THE OWNER; I;�iromise In,good falth to inform the�owner of=#he permttting condltlons set farth In
this affidavlt�pnor to�comrr�eracing canstructlon. ! uriderstant! thet,a�separate petmit may be requl�ec!for etectrlcat work, . .
plumbing,..signs, wells, pvots,,air conditEoriing,�:g�s, or othec in�talt��ons nal.speciflcatly ln�iuded�in.the applicatian. .A- �
permit Issued shall be canstrued to be��a'iicense to�proceed wlth tiie;viiork and'not:as:authorlly=to:vlolate;.`cancel; alterR or
set aslde any`provisions of#he#echtiilcal cod�;�nor shall lssuance�of a.permlt.pr.event the 8uildlrig Qtftctel from thereafter
requiring a correc#lon af errors�In;plans; c6nstruction.or vlolations of�any codes. .Every•permt#-lssued�sfiall become invalid
un4ess the wock authorized.by such permlt:�ls_cornmenced�wlthfn,sGc_months of�perm!# lssuance, or ff work authorized !iy
the permit is suspended�or.aba�doned;for;.a:periad,of��c;(8)months';:aRer;the'tirn�the�work�ts commenced. An extension
may be requested, in wrriting;�,from,ttie:;Building,Cliflclal for a period.,not�ta-exceed.nitt�eety`(90)-days a�d�wlll�demonstr�fe
�us#€�abte cause for�the extenslo�:_.If work ceas�..for€�inety.(90}consecutive day:s,..th�Job�is aonsfdered abafldoned. :
, _ . _� . _. : �, �
WARNlNG TQ UWI+IER; YOUI�,_�A!lUR�„TC1.=R�ECQ�tQ.,A�wN4�'tCE t1F>�GQMMENCEMER�T:Ni�1Y��REStilT`IN=YOUR
PAYING TWICE;I=OR iMPROVEMEN.TS-TO,YOUR��:PR�P�RT1F�i1F�.YO.U{IN'F ` :TQ'�OBTAIW��FiNA1��1NG;'C.ON9�UL�T
WIT U D A � A3T'ORN - .C'XRE+ � -O �; -OU ' ° � E �E � '
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-FEt?R A:!{1!@A�{F:S.347.�3� _ _= — __._ ------- .. ----_� _.--�=��.��.�_ _-_��.� _...., _ . _ __—_____.___ .-- -
OWN�R OR AOENT � �/yr/� '��--� CON?'It/t,CTO � ✓"� ��G�
Subscribed and swom to or al�Irmed)beforer me th!s Stibsafbed and's+� at nned}•betorei me`�ii�.' �
bv _ ,by. , ..
Who Is/are pensonally known to.me.or:has/have produced a re p, rs allyknown•td me or#�aslhave�produaed � t
as Idendfii��on. e��dent#fica�an.
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Notary Pubtta . Notary Public
Gommisston Na:� ,.��'��'�"•¢��;., JAC
Coin. i�sta . o. Q��LI E BQGE .
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m��r 1�
Name at(Vofary typed,pr#nted or stamped Name af Rtotary iyped, r �'�u�n��c�u�.��e