HomeMy WebLinkAbout17-19069 CITY OF ZEPHYRHILLS r`��
5335-8th Street '
(813)780-0020 19069
� ELECTRICAL PERMIT .`'� �
PERMIT INFORMATION - " LOCATION INFORMATION -
Permit#:19069 Issued: 11/17/2017 Address: 3441 PYRITE DR
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: RV PARK Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,500.00 Total Fees: 45.00 Subdivision: EMERALD POINTE RV RESORT
Amount Paid: 45.00 Date Paid: 11/17/2017 Parcel Number: 24-26-21-0080-00000-2980
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS' A/C COMPANY Name: DUEKER DONALD L & HELEN DUEKER
Addr: 12232 HWY 301 Address: 3441 PYRITE DR
DADE CITY, FL. 333525 ZEPHYRHILLS, FL. 33542
Phone: (352)521-4977 Lic: Phone: 217-827-6969
�i Work Desc: WIRE DEHUMIDIFER
APPLICATION FEES
ELECTRICAL FEE 45.00
� `
, INS E �10
ROUGH ELECTRIC ' �
CONSTRUCTION POLE
PRE-METER ' e �
FINAL �l J
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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. I
NOTlCE: 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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� CONTRACT PER OFFI
PERMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CAC05�575 /EC13007703 PROPOSAL
1��32 FE19�13�1 DADE CII� (352j 521-4977 "NOW PROVIDtNG"
DR,�E CI'fY,�L 33525 �E�F9YRH9L.�S(�°93)77�-9�'!5 '°ELECTRICAL SERVICESee
NAME: Don Dueker Date: 11/01/17 SPLIT SYSTEM #�!# PKG UNIT #N/A
SUBDIVISION: `y� i jJ� HEATPUMP #�f# STR.COOL #N/A
ADDRESS: 3441 Pyrite Dr n'�.=�:.�`:��'���'�'�"-�,�t '����'�:�;��<`�;,,.���
��S;wirc<�5�":.tw'���<�::�e:�;ti,JX`�'."a� �' ::,K"",�;,.�:ase'.:?�:c�:,�.M'���%r`l;',:�'s;�a,
cinr: Zephyrhills FI ZIP CODE: 33540 CONDENSER: �
PHONE: 217-827-6969 WORK: IR HANDLER: #'N/A
CELL: RENTER: EER RATING: �
Esnnn�aTOR: Kameron Bwat��: #N(A
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�,0'�',� �?"#2. � �� �. 3i'S3 uf 'f,'� y r a' *t Y ���'��F?�:i: q. }t@r��
..��4���:�.�.,�;"������ ��,�'�:'���P,��.��:���;;->, ����;�
PAD INSTANT REBATE: $ #��//�
LINE SET �j�F'� OTAL LESS REBATE � �#N/A
DISCONNECT TOlO1NAGE: #�/q PARTS: #Pt/A _,
$200 SENIOR DISCOUNT COMPRESSOR: #N/A v�oR: #N/A
ANCHOR CONDENSER f;x�.'���7�'�������'� �"� "`- «�i���'��'�
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TAX,LABORAND,PERMIT CONDENSER: �
ELECTRICAL ��S'a�5�� /'wn �X����� IR HANdLER: #N/A
HIDE A LINE LINE COVER 15FT EER RATING: �
BRAND: #[�J/�
GLfid�O/rlPlr� Gcitin�� /�7>i)i' �//�/i� Y"o o cd�LrG .� �A�l�P1
w���� w�,� �J. w,n�o� ��-� .ar INSTA(�T REBATE :
or»w �� �'L�<.>r-r�� cri�� �70% �� o�„ OT/dL LESS REB � �N�r� f �ra'I
��, GS� �ocr.,,d�c� w�: ONNAGE: /A, PARTS: N/A (.� �����
connP oR: #N/A �asoR: #N � �
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ctir,� NDENSER: MUZGL�;SNI�U� �
1a,6 �R�rvo�R: M$ZGL1�NAIl1 �J��
FIRST MAINTENANCE CHECK FREE SEER.RATING: ZO �
Bwart�: MITSU�ISHI
o � aFgvl�o61 �
:� _`'y.�vh.�'�yF,^' s �"'' <r� �x� �s 2`+�a a�.t .�•r-_. �^u.k<�
,��r.� ���� � ��,������- _� � ���.��; 7, 6A0:00
::'t:tw,���s.".:���.��-�:-��,�``.�',.:3,�:��:�s¢,�a,...��J��.a��r�"m�'�'�=�=.:-4�,�rC.-,,s,P.'�..'�:;.�:�.�� INSTANT REBATE :
I HAVE THE AUTHORITY TO ORDER THE WORK OURINED ABOVE. 1 AGREE THAT SELLER mK OTML�.ESS REBATE � Q.qO�4.o��
RETAINS TI'TLE TO EQUIPMENT AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PAYMENT ONNAGE: �,5 P�utTs: 10 YR
IS NOT MADE AS AGREED,SELLER CAN REMOVE SAID EQUIPMENT AND MATERIALS AT con�P�SsoR: 10 YR I:ABOR: #N/A
FI 1 FRS EXPENSE.ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE
E RESPONSIBILITY OF SELLER. LIMITED WARRANTY-EQUIPMENT,PARTS AND
MATERIAL HAS WRITTEN MANUFACTURER'S WARRANTY ONLY �s.,'•�'�✓' a�.x?" ` � '.`,;r�ry y�, . ,t`°*°,., '�
� "V � }U�:'f � ±i�, -�,.�z-,e
:OO°�a� �R 60� F� H � (WAC)
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CUSTONIER SIGfVATURE DATE. �ST ' B�l ' �
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07� � � � � � a �' � DO � C� O � �1�'f�
813-780-0020 City af Zephyrhilis Permit Application Fax-B13aso-aaz�
Building Qepartment . .
Date R�eeiyed ` �• �"� •�/`� , �;: Phone=Gantact far P�rrtiit#In :,
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'I Owner's Name Ol'� � Owner Phane Number ��� ��G '
' Owner's Address � �� Owner Phone Number
, , : , � �
Fee 5lmple Tltleholder.Name �- Owner Phane Number
Fee Simple Titleholder Address
J08 ADDRESS ,l // ~ �/ �� LOT# C�
SUBDIVlSIOF1 '� , --� ` PAitCEL ID# � � 7 L�6 �(,� � ��`-'
, - �• , . , (OBTAINBD FROM PROPERTYTAX NOTICE)
WORK PROP0.SED �NEW CON5TR ADDlAtT � StGN �Q- � DEMOt,IS1-t
���e, �INSTALL 8 ',:REPAIR �l U`'1 .
PRQPC?SED�USE - �- Q 3FR. �� GQMM � �OTHER • r r" 2 �
TYPE OF CONSTRUCYION � Q�•' '' Bl»OCK " Q FRAl1AE � 'STEEL Q
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� DESGRIRTION OF WORK !^�'
BU1LDtNG SIZ�`'�� �'SQ FOO'TAGE�_�_ : _ MHEtGHfi�:��
.., :_:. .
�St!lLDING �� �- ' .�-, < -
. f VA4.t1AT10NaCSF`TOTAL'CONSTRUCTION � v
EI.ECTRIGA� $ � AMP SEF2VICE Q Pt2t:1Gt4ESS ENEFtGY Q W,R.E.C.
� . ��____�!�� , . .
QPLUMSING V� � ` . ��� _
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[,�MECHAN1GAl $ � VALUATiON pF:MECl1ANlCAR.II�ISTALIATlON!
QGAS Q ROOFtNG Q SPECIAtJJY C] OTHER
� FINISHED FLOOR ELEVATIqNS �� FLOOD 2QNE AREA [�YES ,NO ,
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� � _---=__ -�..,_�___ �-�.-- -_____-____
BUf�DER____ __ __._ ________ _..__ _ - _--___-�OMPA[+iY`~ " -`—� `--- � --
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i�- SIGNATURE REGISTERED Y/ N . FEE CURREP Y/N'_ .
�ddress � � � [:icense# � �
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EC�CTRtCIJIfil;•. - - �COMPANY `
SIGNATURE� '� REGISTERED N FEE CURRE�*� � � /N
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Address � �, � � � , � . ... License=#:'��-;j���a �-�",,��
PLUMBER..� COMPANY , . ...,;:t =
SIGNATURE` ` REGIS7ERED,. - Y/,.N.�. ,,FEE CURREP_ Y�/N� , '
Address . . _ �,.Ltcerise�# �, :. .. .,�� �
MEC1fANICAF:`� - ,. � ' � . Cfl�tf�ANY '.� � ,
� $IGNATURE� • ' °' " ' �` ' �� ' REGISTERED_, Y./ N ;� PE.E�CURF3Et��_ Y/�N ,
� Add�i •.�_ ��.� .�� � � � _ � . � , �Icense#�� .�• ,, t -
�'� tYf#{Hi2 = r '.' w , : -n �, ,. � . .� , :CQI�PANY� � , ,� �
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� SIGNATURE -- `'� • ' - REGIS7ERED� ' , Y/ N_.r �;FEE CURRE� Y/N.
Addreas, _ �� .�.. ` - . = F ' ' , Llcerise# �— . � ' ' . ��
_�t;.. .,.y.�..�: " F:. +7- . ,_ `.�� t,�y:,.• .,q: ;,- , . . �3' .
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RE3lDEPIT�,Ai;,;;.� ,4#tacti"(2):,PtofiP.lans;,,(2�}'s'els=of:Buili2ingfPtan`s,�{1}setof=Eneigy',Fartns;rR=O=W�Perinitfornew;constructian, ` �
��Minimum,ten;(�1.0)�viroriiing"de" �f.`
-�:f�,�,s�:.,:..��.�., . ,.,! ..�r� . ,n ,ys<afte.r`,�sutsmlttal'date:w:Requl�ed onslte;:ConstrucBon=Pians;�$tortnwater Pla�ns w/Slit°Fence lnstal�ed,.
� �Sanifery'Faciliyes&1,e,du,m,pste,r,xSite•Worlr�P:,ermitforsu6divisions�aige:proJeats=,.,.�.'-.;�;:. . , �_ , ' . -'-
COMMERCtAl. Aftach{3)`c6mplete sefs`of 8uit�iiig'Pians plus a`Cife�Safety Page:�{1)set of Energy Fctins.R-0 W Permit far new canstructEon,
Minimum ten(10)worlcing days�after submittal date. Required onsite,ConstrucUan Plans,Stormwater Plans w/&Ilt Fence installsd,
Sanitary FaoiliBes&1 dumpster.5ite Work Permit for all new:prqjebt'saAil commercial requlrements.must meet compllance ' '
SIGNPERl4}IT Attacti`{2)sets�ofEngin.eered=F?lans:,; � ,. �. -. .. ` , � �
;.. ti.r .. ,
'•*"PROPERTY SURVEY required for atl„IVEW_,canstructibn., . _ _ � , _
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.i}!r`8"Gt10t18: ��r�v-.'�,; ... . . , .. � ` ,
� Fill out applicatlon completely.
Owner&Conhactor slgn back of appl[caUon,notadzed �
If avar�2500.a Notice,of Cammencement t�r+�quirad. (AtC upgrades over 57500}
;.;__:����,�,>,;,�;;,,. .
.. _ �w.,. _.
Agent(for Uie contractor)or'Power of Attoimey(fo�tlie owner)wbuld be someone with notarized letter from owner authorizing same
t}VER"THE Ct�Ui�t7ER,.P,ERMITGlNG.._ ._;...{Front af ApplicattomOniY)... ._ , ,
Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
�riveways-Not over Caunter if an public roadwiays..iieed`s ROW
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fVOTICE OF DEED RESTRICTIO�dS: The.u�de�csigned undergtands.;th�t;thls,�pr�r,mif�:may;be:sub)ecfi,to"deed"restrlctions"„eJ�y. �
� #..,. ._ _.,�.
which may;b"e:more�restFictive�thaFl�County��fegulations:YThe underslgned��assumes°resptinslblltty`.for�coinpliance`wltli`any''`
applicable:deed�rest�ictlons. � ,.:�.�.._° .j;�:.'�;. -.�,, .:_= - � . _ �. .._ - �..�. ... .. ...:..,.�_ -...;, �- -F:... ,-„r,..�d
UNLICENSED CONTRACTORS .AND CON�'RACTOR RESPONSI�ILITI�S:� =.lf=tiie�owner°has���hiretlY a�'`contractor or
contractors to undertake.work,#hey may�be;re�.quic:ed=to:,be,Ilcensed In_.accocdance.with�state:and,local regulatlon.s.:�If=the`��'M ����'��
. �.._. ..... .w:.�
contractoc Is=riof ltbensed=as re�qulred:`tiy lew, both�'the own�r and contractor��may�tie�cited�for a;misdemeanor violatfon
under state law. IF the owner or Intended>�contractor;�are;uncertaln as to whaf Iicensing requirements:�'may�:epply:�for;'the���A�=�°� *'��`�
, , . ..-...:� -. .__ ,��.,,-,.
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intended"work,they a�e-advlsed to coritact,tlie;Pasco:County Building;Inspectton:Divlston-l:icensing Sectton at.72T-847-
8008. Furffiermore, �If the owmer�'tias�'liired�a contrector'o� contractors, 'he is advlsed to have �the contractor(s),,,sign,,„ ,� ; .,.
portions of the:"contractor_,Block� of,thls�application�for_whlch.they will.be..responsible.e_-If=youu,�as-#he owne�'sign'Yas'the`''"'`� '"'� '
contractor, that�may°'be an indication that'iie'-is�not properly`Ilcensed'and"is�not entitled'to perrniEting�p�iulieges in Pasco, _
County. ` �- .. , .. � __,.. __. �. _:< k�.;-�:,._;,,,. . __,
� TRANSP:.ORTATION�IMPACTIUTILITIES�rMPAC'��ANb-RESOURCE RECOVERY�FEES:�The untle�signed`understands �
' that�'ransportation Impact Fees and.Recourse_Recoyery.Fees m'ey�:apply�to�t(�e,conatruction;of new buildings,lchange�of����li"��'�'"'
use in exis8ng buildings,�oc�expar�si�n��of+existi�i�g.'�buildings, as specffied.in P�scv County Ordinance number 89-07 and.
90-07, as amended.,r�,The undersigned aiso;understands, th�E=such fees;�;as�,�may_;tie�.due;;�wili:�tie identified at the�time�of>=`°�-�' Y'�
per�itting. It Is fu'rtHer understood that Tra�sportation Impact`Fees and;Resource�Recovery�Fees.must be paid prior to
recetying-a_°certi�cate_of occupancy" or�flnal•�.powe,r.:.release:� :if°the.proJect�,.does;not;involve�;a:certff,(cate of occupancy,or=��n�7K:�;'4�
flnal power release;-.the�,fees mu�t`ti"e"paid;p�lor to,permR Issuance. Fti�tkiermore;�if:Pasco�County"WaterlSewer�,impact� -��,�_��•.�9�
... ,� , .;.�._ . ., _.
fees a�e due�_they�.must.,be:paid:;prior to.permit<.Issyanee°in,accordance with-:appllcabte-Pasco�-,County�o�dinances. •
CONSTRUCTION�LIEN'LAW"(Ciiapter T13� FloNda Statutea�as�mended): Ifi valuation�of work Is$2,500.00�oc�more,,,l=�.�, :;..�:
certify that I,-!he applicant;:-have:-been pro�ided •with--a-copy� of_�the•°Florida� Constructlon "Lien 'Law.—hlomeowner's
Protection Guide" prepared by,tFie Flor�da Department�of Agriculture and Consumer Aifairs. If the applicant is someone .:. :. _..
other#han the"owner", I certlfy,:that.,l.have.ob.ta(ned�a-eopy.of..#he;above::descrlb'ed`tlocurt�ent;and.promise�;in,goo."d.�faith.to. . . ,, ,
deliver It to°the.:�"ownec'=prior�to�cornmencemelit:`` ' � ' ' `�"�° - ` =,
CONTRACTOR'S/OWIVER'S AFFIDAVIT: I certiiy:tti;at:all._th��lnf�rmation:;In�thia appl(cation is accurate and that all'work �
will'be done in compliance with all.appitcable laws regtilating constructlon, zoning and��land°�deyelopment. Appiication is
hereby made _to. obtain..a .permit=;to,do.:work,:,and�instellation �s indi�afed::�:.1� certify that no wo'rk�or Installation has'
commenced p�lor to Issuance of�a perm(t"and that.ail�work will be perFormed�to meet.standaTds=of all laws regulating-
construction, County and C(ty codes, zoning regulatians, and land development regulatlons�In the jurtsdtctlon:= i �I'so .
certlfy that I understand that the regulations of other�gov�rnment agencies may�apply;to the..intended,work, and that it is
my responsibiliiy to ident(fy•what.actions I must�teke:M,be,in:.c�mpllance:,,.Such;agencles.indude but=are.not lfmited to: , � .
- Department of Er�vtronmental��Rrotection=Cypress.`Bayhead9; V1letland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment. � " ' ._
- Southwest FloNda� Water fUlan�gement:-`,District-lNelis, Cypress.'�Bay,h�ads,� Wetland Areas, Altering
Watercourses. � � � -
- Army Corps of Englneers=Seawalls,�Docks, Navigatile Watenrvays. '
- Depa�tment of ,Health;:8, :Rehabllitative,.Services/Endtronmental Heatth Untt;Well.s� Wastewater.-Treatment,
� S��tlo Tanks: ` _y � , ._ _ : .
- US Environmental Protection A en -Asbestos abatement. - - - -
9 � .
Federal Avlatton:Authority=Runways:�
I under�tand that the,followan`g:.restelctions apply fo the use of flll:•
- Use of flll Is not allowed tn:Flood;Zone°!!"unless expressly permitted. _ �
- - If the-fill" materlal"-is to b.e used:,�in �Flood Zone. "A", tG is understood that a drainage plan addresstng a
" , �compensating volume" will be submitted at time of:permift)ng�rhlch�is prepared by a professional engineer �
- � Iicensed by the StaCe of�F�orida:- � , '
- If th� fill-material-�is-:to be:used in Flood Zone "A" irr connection�with�a�permltted�building using stem wall
const�uctton, I certify that fUl��rall�b.e used only.to.fill the area wtthtn�the�stem�wall: _
- IF fill mate�lal ts to be used in any area; I certify that .use of such flll will not adversely aifect adJacent
properties. If use of fill is found:to adversely,:�ffect adJacent��pcoperties,.the owner may be'cited.for violating.
the condi#ions,of.the building:permit i§'sued-under the aEtacfied_�ermit appl(cation;.for lotsT.less�than.�one (1)
acre whtch are elevated�tiy fllt; a�t englneered dralnage plan is required. .
If i am the.AGENT.FOR.THE OWNER;.l;.promise In good_faith to inform the owner of�the permitting conditlons set forth In
this affidavit'p�lor to commeraoUg constructlon. I understand that�a�aeparate;permlt may be tequlred for elecMcal,work, . ..
plumbtng,_.signs, wells,.vpvols; air conditioning,...gas,.�or othe� install�tlons noE,spec�ically included�in the application. .A _
permit Issued shall be construed to'be'.a'license��to��proceed with flie work and not�as authoHty:to:.violate;.:cancel; alter, or
set aside anyyprovistons of the.teclinlaal c+ndes;�nor shall Issuance�of a.permlt.prevent the Bulidirig Official from thereafter �
.�.: .�
requiring a correctlon,af errors in�,plans;-constPuctlon._ocviolations ofany codes. -Every_permlC�lgsued sfiall�become invalid
unless the work authorized�by such permit.•is.commenced•wlthin �f�c_months of�permit Issuance� or if�rork authorized by
, the permit is suspended or;abandoned;for-.a;pertod;of sUr:�B)montTis:afte,c the;tlme the�wo�k�is corrimenced. An extension
, may be requested, In writing;;_f�om,the;:Building,Official for a perlod:�not to exceed��ninety(90)`days and�will demonstrate
just(fiable'cause for:the exfension.. If work.ceas�es:for ninely.(90)cons.ecutive�days�..th�)ob�is.cons(dered abandoned.
WARNING TO OYVNER: YOUR..�AILURE.TO.,.RECORD,A';MOTIGE OF�•COMMEi�CEMEMT�NFAY�RESULT�IN�°YOUR
PAYIIdG TWI.CE:.FOR:IMPROVEMEN.TS�t'fl;YOUR:;:P�OPERTY::-1F�.YO.Url1d�'rEKID�T�-C�BTAIN�FIRtAR1EtNG,�CONSULT �-
-VYIT U f- . D ��O. �At�� O� N �B .t�iR�+.��OR�9 �:° OU � � 'O � �,: � E � - - -_--- -
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FLORIDA JURA�:(F:S.1.17 03) _ - -
OWtdER OR AOENT . � G... . CONTRAGTO �
Subscribed an bswom (or a�irtned)before me thl SubBcrlbed and'swom�to(ow atflrtned)�b�fo �thi�
Who Is/are pe�sonally knovm to.me or has/have produced . Who Is/are p.ersonaliyacnown•tty.me.or haslhave•produced •
as Id'entlflcatlon. � as IdentlRcadon.
Notery Publlc _ � Notary Public
Commisslon No:` Commlasion.No.
Name of Notary typed,printed or stamped Name oi Notery typed,printed or stamped
I