HomeMy WebLinkAbout17-19111 p - �� CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 19111
ELECTRICAL PERMIT
= PERMIT INFORMATION � - � " L�OCATION INFORMATION
� Permit#:19111 Issued: 12/07/2017 Address: 5146 10TH ST sk�■rrir•
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: 1,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 12/07/2017 Parcel Number: 11-26-21-0010-19500-0060
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SHALOM ELECTRICS LLC Name: LOKHANDWALA ABBAS &ARWAH
Addr: 4429 WEST PINTOR PLACE Address: 10305 BENEVA DR
� TAMPA, FL. 33616 TAMPA, FL. 33647-3253
Phone: (813)215-2015 Lic: Phone: (813)966-3650
Work Desc: ELECTRICAL UPGRADE ENTIRE HOUSE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS QUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE ��
PRE-METER
FINAL
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.
,�/ 1/ -
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER �
a,�3aso-c,�zo City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent . '`'
Date Recelved , J Z—p7— 20I 'y�
Phone Contact�for Perrrilttin g/3 �O .� _ 2 C�/S�
Owner's Name ���$ ��+�"1���-+.�� Owner Phone Number ��� /�� � 6�d
Owner's Ad'dress 5���' / St • z'P�� � 3���2-. Owner Phone Number -
Fee Simple sTitleholder Name ` ���2� ����no��,r� Owner Phone Number �
�
Fee Simple,Titleholder Address 51�� 1�� S't � � � `3 3`�� Z-'
,
JOB ADDRESS Jr I k=G /��� 5�' `Z sEp��'Yt- � C� �3.��Z LOT# �
SUBDIVISION � PARCEL ID# '
(OBTAINED FROM PRCPERTX TAX NOTICE)
WORK PROPOSED NEW CONS7R ADD/ALT Q' SIGN� Q �Q DEMOCISH
e. INSTALL B , REPAIR
PROPOSED.USE • � Q SFR, Q COMM Q •OTHER ' � ' ' �
TYPE OF CONSTRUCTION Q` BLOCK " Q FRAME Q STEEC Q
DESCRIPTION OF WORK�` ���'^� c � e"�-' /�'e �J •
BUILDING SIZE �J�- SCl FOOTAGE � ��0 . . � ��'
� ,.HEIGHT
QBUILDING $ . , . � .. �
i
, VALUATION�OF TOTAL"CONSI`RUCTION
�ELECTRICAL $ ' � - AMP SERVICE - Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING� $ ' '
;
QMECHANICAL $ ' VALOATION OF'MECHANICAC INSTALLATION ,
�
QC�4S Q ROOFING .Q SPECIALTY; Q =� OTHER . � '
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ,NO
_ ,
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BUILDER { COMPANY=� � ' - ' ' '
SIGNATURE REGISTERED Y/ N .- FEE CURRE� Y/N
Address - Cicense# ' —1
1, _ . � � .����t. �`J�i�-s' � LL�
ELECTRICIi4N: , COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE�'` ' � Y/N
Address ' � - , License.# .,L�C l3d07,��� �
; _ , ,
PLUMBER� COINPANY � •
SIGNATURE' ' _ �REGIS.TERED� , Y./�N• ' .�(-rFEE CURRE� ` Y/N � -
; . � --
Addre�s . , :License.# � �.
MECHANICAL`� , . COMP,,ANY - , - ' . . - - .. _
SIGNATURE REGISTERED �� ..Y,/.N.. � FEEfCURRE�.� ,Y/=iV . �
+ I _ ' 4' :'.p1F � . -. . , .-. .
Address° - � � " ' • .' ._� � License# -
E , ' _
OTHER ` �`;CbMPAWY_ _; � -� - . ' • -
SIGNATURE . ^ REGISTERED ' ' ` " Y/ N... FEE CURRE� Y/N _
Addre�s � , , , , - .� ``Cicense#� ' ' � .
RESIDENTI�►L•.�= Atta;cfi(2);PIot-Plans;;(2)'sets-of�Buililing'Plan"s;'(1)'setof�Energy�Fo'rms��R=O=W'Perrril4�farnewconstruction,,
_ = Mlnimum�ten;(:1.0):wo,rking;days;after;submittal'date:':Requlred onsite;Constiucdon:Plans';Stormwater'Plans w/S(It'Fence installed,
� �Sanf4aryFacllfdes:&-1�dumpste_r,_9Site•Worlc:Permitfor'sutiiiiyisions/lafge�projects;- �� � ` �- � � " � � -
COMMERCIAL Attach 3�eom lete sefs ofBuildin Plans �lus a Life Safe Pa e; 1 set of Ene Forms.R-O-W Permit for new construcUon. �
� ) P 9 P tY 9 � ) r9y
Minimum ten(10)wrorking days after submittal date. Requtred onsite,Constructlon Pians,Stortnwater Plans w/Sllt Fence installed, ,
Sanitary FaciliUes 8 1 dumpster.Site Work Pertnit for ail new<projects:,All commercial requlrements,.must meet compliance
. ,_ , ..
SIGN PERMIT Attacli�(2)"sets of Engfneered Plaris:;��.� �---�' ' -' -
""PROPERIY SURVEY reguired for all NEW construcUon.
Directlons:. ° � • ` '
Fill out applicatlon completely.
Owner�8 Contractor sign back of appl(catlon,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over�7500) .
,-..,,:,._,.
" Agent(for the contractor)or`Povirer of Attomey(for tlie owner)would be someone with�notarized letter from owner authorizing same
�VER THE,COUNTER.PERMITTING •(Front of�Application Only)- '
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) _
Drivewaya-Not over Counter if on public roadways.,needs ROW,
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,, :, . . .
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NOTiCE OF 1}EED RE87'RICTIQNS: The undertslgr►ect;under�tands;th�#{#hts-��rmlf�rtay be,sub�ecE to,�deed°restrlctton',s"���,::-„.�;.:•..w
which majr-be',more�.restflctive�th�Fl County��regul�ittons.:��The�uiiders�l'gned�'a§`surries responsitiiltty�for�compllance with"'anj+� �
applicable d�ed'restrictlons. �. �_...�_,,�:� : � : , ' . .. _. .° ', - �_�
UNLiCENSED=CC?NTffACTQRS�AND CCINTRACTOR RESPONSIBICITIES:� �°tf-them owner has"�hired' a contfactar or
contractors to undertake work; they,may:b.e;r.eiqui�ed:_ta.;be;llcensed in;aacardance.with_state.and_,lacal�,regulati..a_ns:.-1f theT �� � �-'���
cor�tracto��ts rio#�1lcerised�-as�requlced`�`taHr,�both�ttie owner an�co�tcactor=may��t�e°°cited�for=anmtsdemeanar viofation
under state law. If the awner ar intended��contra�or,�ere„uncertaln as�to�what Ilcensing;requlrements�maysapply�:for:�tine=��•-° : ��.,:
.:.,,,:.,r .� ,... . � . ,. ..,..:.._. :,....__,_ ... ..� , ,
fntended w6rkr ttiey are'advlsei!'to ciiritao#the=Pasco•Gounly.Bulldl�lnspectionrDivtslon,-L.icensing Seatian at 727-847-
8009. Fur#hermore, if the owner'iias'hti�ec!`'a�aantracfaT or;coritractors,�Fie is advised ta fiave the contractor{s),,sign.. ; 4
,�.:t:i . y �..y f .
portions of the "contractor.Block".of..this_applica#lon.for.which.they wilt.be;:,i:esponsible.-=1f:you;:as.the oriuner"sign�as the " '`
contracto�; that�rnay.be an liidfcation that'fie=1s Kiiot:prope�jr-licerised�aritl��ls�iiot+an�tled to perriilEti"rig priv3legas In Pasco ;
TRANSPORTAT10N-1MPACTlUT1411'IES�;1�!lPAC'���AN�RE3t?URCE RECQVERY�FEES;�T�te underslgned�urtders�` . � .
h+• .
` nds
that Transpartattan Impac#Fees�and.Recaurse.Racovery.Fees maj�;apply�:#o�tfie construction of new_bundings,°change�'of=="�`='�-�"
use In existing buildings,�o�._expar�si�n��of:�ei�istin,g°�fiuildings, a§ spec�ied.in.Pasco County Or'dinance number 89-OT.and �
90-07, as amended:..°The undecs{gned also;�understands, fha��such fee"s,:,as��tnayrbe�:due;:�will�be Ideril�fted at tt�ett�me�~of>':- ...` '
permitting. It is �u'r'tFier understood that Tra�isp�ortatlon impact�Fees and Resou�ce�Reco�ery�`Fees.must be paid priar to
rece�ving-a.°cerfl�cate o#occupa�cy"�ar-finalrvpowerretiaase; :i€�lhe.pro��c#:,does,,no��involve;a:cert�ica#e of occupancy.�r-��:.°� , �;,
finai power_-release;:,,the�,fees rinu�f;be"paid;p�lor to,,permit iss�iance. Ft��tk�ermore;�lf Pasco:County"1NateNSewer•�Impect �.. �
fees are du�,:.theynmust:,be;pald,.prtoc to_per,mtt`,lssyance:in..accaedance wit�r<appltcable:Pasco'.County vrdlnances. �
CON�TRUCTiON'�lEN'�l:A�W(Cii�pter 713�Flar�d:$tatut�s,a�amendedy: If vaiva�on of wark�ls$2�500.00;or more;.i �� :s��
certify tFiat I, �he. applicant;:have.been :prov,i.ded-�with-�a,capy�of�the�"Flortda•��onsWction� Lien�:Law Homeowne�'s
Protectton Guide" prepared by�tlie�Flo��a Departmenf of Agrlcu[tu�e and Gonsum�ar;atialrs. If the applEcant Is someorie•�� � .
other than#he`owner", I certifji.th�t I,;h�ve,obtained�a�copy;of..the�abQve,described�iocui�ent=and_pro�iisi�;in,gaad�:faith to �{r
defiver It to.the.'owner":`.peior�to�aornmericement;`,:' •`� � , . • � �
CONIRACTOR'SIOVYNER'S AFFIDAViT: i.certify:�ttiat�.ali�the�ninf.ormatfon��;in•thi�appltcatlon is accurate.and that alliwork
will'be done in cam liance wf#h all a Iicable'laws re u�atin constructlon, zonin and�land�deyelo ment. A Ilcatton;is
P pP 9 9 9 ;. p PP
hereby made #a obtaln.a.permit,.ta�do_:wotk:�;and;insfalla#lor� as MdE�afed:��. �°I certify"that no work;ot Instaltatton has'
commenced pPior to I'ssuance of a permlf�and thaf`.all work will be perFormed�to meet standards-of ali laws regulating�
aonsbveEion, Gounty and City codes, zoning �egulatlanst and tand develapmer�t r.egulattons�ln the �urisdtctfon.-. !<<also
certify that I u�derstand #hat the regutatlons of o#her government agencles may�apply�#o the lntended work, and that it is
my responsiblHty to Identtfy•what.actlons 1 must take.to be�ln:,catrlpllanca.-,S,uch.agencles lncluds bwt�are.not Itmtted to: ��
- Dep�rtmen# af Et�vlranrnentafi��Prateatton=Cyp"r'ess.'Baytiead`�, 1NeNend Aress and Ernlronmentatly Sensithie
Lands, WatedWastewater Treatmenk. , ,
- Sauthwest Ftorlda Water IVtanagement�:aistrlct Vilelts� Cypress. Bsyheads; 1Nef#and Areas� Alteririg
Wateraourses. - . ' ` -
- Army Corps af Engineers-Seawalls,�ocks,Navigable Waterways.
- Department of,Health:.,&. Re�iabilitafhre;Setvices/Envitanmen#a1=.Fleaith Unit-Weti.s, IlKastewater�Tresfinent, ' '
Septic Tanks:_.�- -, , � � - , :
- US Envlronmental Pra#ection Agency Asbeatos abatement. �
� Federal Av.latlon_Authority-Runways. � '
!understand_thaE ttte fcllov+rlrig.:testrl'ctiohs 2ippfy'to tlie use of flli:
- Use of fitl is not atiowed in;Flood:Zone"V"uniess expressty permitted. `
- If the fill�material�-is to be�used.-'In-�:Flood,�Zone. "A°� Ik is understood that a�d�ainage plan addresstng ;a
"campe�sating-votume*will be subtititted at#ime af�.permifttng which is prepared by � professianat engineer
Ilcensed by�he S#ate�of`FMo�Hda: � � �'��-� ��;� - -
- !f th� fltF inatertal�:ls to-be used tn Fiood �one "A" fn�connec�ion�virlth:a {�ermttted baiidirtg using stem wa(i �
� co�atructlon, I ce�#ify.that fUl�:wall:be used only.to.fill the area:within�the�stem�wall: -� �
- If flll materia!-Is to be used !n any area, I �ce�klfy t#�at .usa af;such �iN wil! not adversely affect adJacent
properties. I#use,af.fill is found.to adversely:�ffect adja�eiit�praiperties�,th�owner may be cited for.uiola#irig. � ,
the-condi#Ions.of the.building:perrtiit Issued"under the.at�ached;�ermit applicatian-�for�:lots�less:than:one (1)
acre wliich ese ele"vated'by t�l#;��englneer�d drainage plan�requir�ed.
ff I am the AGENT FOR THE OWNER; I;.�rom(se In good fatth to Infarm-the��o.wner of.�the perniitting conditlons set forth in
thia affidavit`prtor ta cflmme�cing conatructlon. 1 uriderg�tand thst aRseparate permlt may be requlred for etectrlcal�work. ,,
-�-
ptumbing,_signs,.wetls,,.paols;.alr,canditioning�-.g�ts,:.vr.:o#her insfall�#ions not•spec�fcatly included�in.the�apptication. .A
permit Issued shall be consfived to<ae:'a�Iicense�.to��proceed with'the wo�k and:not�as:.authorl#y to:vlalate;�'aancel� alter, or
set aside anjr�provlsi�ns o€the teclinE`i�aades; nor shall fissuance�of a.permit.pr.event the 8uildlrig O#�cial from thereaiter
requfring a,coRectfon,af�eRo�s;in�:plans;-constnictlan.ocviolations of�anycodes:�-�very,permit�i.ssued siiall�become�invalid
unless the wrorlc authorized.by such perrnit:�ls-co�nmenced wlthin st�c..months of�permlt lssuanr�. or if work authorized by
the permit is suspendad,or.abandoned-foe-a:periatf;of s�C:�)montt�s.after,the tlme the�work as commenced. An extension
may be requested� In writing,,from th�e.:Building,Official for a pertod�not�-to.exceed'�ninety�(90)�days and-wllh demonstrate
just�iabte c�ause fior:�the e�enslon; If wor.lc ceas��far nlrte#y.{90}cons.ecutive:c3ay.s,._fhe�ob�ls consfdered aba�doneii. ±
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WARNING TQ OWNER: YOUR.FAII.URE.,Tt�1.RE.CO�tD�A,NQT�IGE.OF�•COMMEMGEMEI+tT�MAY=RESUE:T IN�YOUR
PAYING TWiCE�FOR iMRROVEMEI!t�$�,T;O�fOUI'�:PIiCC�PERTY:�:�IF°YOU�II!b�1D�TQ;OBTAIN•�FIN�`►I�1�1NG;'C.ON3lILT .
W�T -� -` - -�4- �O �El�'� FOEt�k, - -R� �� OC! ' : .;� _-� : �,� s� _� �^�� _____–
_. , .. ,,,i. _ .
F�ORIDA JURA;�{F.Ss.1.17.03j �` t � - -
. - ' , • � 4.
OWNER OR At3EPIT . CONTF�pCTO
Subscrlbed and svwm M(or aNfrmed)before me thts Stibs bed and'swom`#o �b�'to re me't�i1�
py a .by... y�ur�nrs�✓ - K.-�MI ��
Who Is/are persanally known to.me or:has/have produced Wh .I are .e onal�own�tr�me-or has/heve•produced = �
' as Id'entl�ca@Pn.� ' as Iden��cafton. __ �
Notery Pubitc . � Notary Publlc
Ccmmisslon No: Co �isston�Na. � ,
� �
(Vame at I�otary typed�Pdnted or stamped Name of Nolary typed,prin#ed ar'stempsd ,
• �,,,, en"�,'��m.c,o�
:':,:"p�a���;, pEBRAELAINERUFFELL
. �,......
=t; i,:Commission#GG 045343
wN.�<`
�- ;, ;�,:Expires November 7,2p20
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