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HomeMy WebLinkAbout18-19256 CITY OF ZEPHYRHILLS 5335-8th Street ($13)780-0020 19256 EL.ECTRICAI. PEIR�IT � PERMIT INFORMATIOAi � LOCATION INFORMATION Permit#:19256 Issu�d: 2101/2018 A�fclre.s�: 38520 NAOMI AVE SEE NUTES Permit Type: ELECTRICAL MISC - ZEPHYRHIL.LS, FL. Class of V4/or�C: �LECTRIGAL MISC Township: Range: Proposed Use: NOT/�PPLICABLE Lot(s): Block: Section: Sq. Feet: �st. Value: Book: P�ge: - ' Cast: 1,000.00 Totai Fees: 45.00 Subdivision: OAK PARK Atnount Paicd: 45.00 Date Paid: 2/01/2018 Parcel Number: 02-26-21-005Q-00000-0120 COfi�TFZ4CTOR INFt�RMATICiN OVtoNER INFOi2MATIt�N Name: REESE ELECTRICAL INC Name: LAND TRUST NO 19352 GORDON NIKOL At1dr: PO BOX 862 Addr�ss: PO BOX 2452 ZEPHYRHILLS, FL. 33539-0862 LUTZ, FL. 33548-2452 Phor�e: (8'13)788-0091 � Lic: Phone: Wark Desc: ��AFETY'INSPECTION CORRECTIONS DONE APPLICATIQN FEES EI�EGTRICA�FEE 45.OQ t � INSPECT[C}NS E t D RQUGH ELECTRIC CONSTRUCTION POLE f� PRE-ME'iER �� FINAL � �.EIN�PECTYON FEES:(c)With respect to R�inspe ion fees will comply with Flarida �tatute 553.�0 (2)(c)the tocat gov�rnment sh�tl impos��fee af four times t��arnount af the fee imposed for the initia[ irnspecti�n or first reinspection, whichever is�re�ter,far each such subsequent reinspection. N�TICE: In addition to the requirements of this permit, there may be additional restrictions appEicable ta this property that may be found in the public recards of this caunty, and theCe may be additianal permits required from other governmental entities such as water management, state agencies or federal agencies. "Warni�g ta owner: Your failure to record a nmtice of comrnencement may resu[t in your paying twice for improvements to your property. If you intend to abtain financing, consult with yaur lender or an attorney before recording yaur notice of cammencement.° Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City Codes and Ordinances. ONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MUNTHS WITHDUT APPitQVED INSPECTIO CALL FOR INSPECTTON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHEOt ' CITY OF ZEPHYRHILLS � � 5335-8th Street (813)780-0020 19256 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:19256 Issued: 2/01/2018 Address: 38520 NAOMI AVE SEE NOTES 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: OAK PARK Amount Paid: 45.00 Date Paid: 2/01/2018 Parcel Number: 02-26-21-0050-00000-0120 CONTRACTOR INFORMATION OWNER INFORMATION Name: REESE ELECTRICAL INC Name: LAND TRUST NO 19352 GORDON NIKOL Addr: PO BOX 862 Address: PO BOX 2452 ZEPHYRHILLS, FL. 33539-0862 LUTZ, FL. 33548-2452 Phone: (813)788-0091 Lic: Phone: Work Desc: SAFETY INSPECTION CORRECTIONS DONE APPLICATION FEES ELECTRICAL FEE 45.00 � INSPECTIONS REQUIRED 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 properly 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. /"1.� / V�-� CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�aaaa-ooao City of Zephyrhil(s Permit App(ication Fax-843-780-0021 : . Building Department Date Received Phane Contact for Permitting 3��J �`�$ - b��� Owner's Name I.and Tru� tJtil935a. C-sord�n'f�1►kd���c.c.� �a-. Owner Phone Number Owner's Address �d �� ��"ts� ��'L, �+33�'$Z�-k Owner Phone Number �^ � � Fee Simple TiNehotder Name ��a�itV��'�� ���5�-- � Owner Phone Number � � Fee Simple Titleholder Address � JOB ADDRESS �g SZt"�. N�Mi �i3+L � ll�+l la. �t.. �35�"')--- LOT# �� SUBDIVtS14R1 � �� PARGEL 1D# OZ" `�, -�C)S�"'���Q�3- C`�l Z-� � (OBTAINED FROM PROPERTY TAX NOTICE) , WORK PROPOSEd NEW CONSTR ADDlALT � S(GN Q Q DEMO[.ISH e INSTALL 8 REPAIR PRQPOSED USE Q SFR Q COMM [� OTNER If� � '�r,� TYPE OF CONSTRUGTION Q BLOCK Q FRAME � STEEL Q pESCR1PTiON OF WORK Ci-1- �Yl Q.G�O�/'�, . ' BU[CDlNG SIZE �� � SQ F04TAGE� NEIGHT �_� �BUt�DING �i -� �/ALUATtON OF TOTAL CONSTRUCTtON X�ELECTR#CAL $ �' ��oa� AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPl.UMB[NG � � �MEGMANICAL �� VALUATION OF MEGHANtCAL INSTA�IATiON QGAS Q RQQFING Q SPECIALTY � OTNEF2 FINISHED FLOOR ELEVATIONS � FLQOD ZONE AREA �YES NO BUILDER � _ . - . - � __ COMPANY -- - - - � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ��� EIEGTF21C1AN � A j � COMpANY G�..�- ��f=C�'1f1 tt� ��' SIGNATURE d�f�`--�� REGISTERED N FEECURRE� N � �D �j�}X, (oa. � �1.�3�'4 ��,,, �icense# �C1�O013S3 � Address �` PLUiVtBER COMPANY ' SIGNATURE REGISTERED Y/ N F6E CURRE� Y/N � Address License# �� � .R•� MECHANIGAI. COMPANY 81GNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� � OTHER COtVIPA1�1Y SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N ...,—,,,_„ „_,,._,_,,,....., Address ticense# � � RESIDENTIAL Attach(2}Ptat P1ans;(2}sets of Buitding Plans;{1}set af Energy Forms;F2-fl-iN Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects _ . _ _. _ _ - COMMERCIAl.. Attact�(2}comptete sets of Building Plans plus a Life Safety Page;(4}sst of Energy Forms.R-O-W Permit far new cans#ruction. Minimum ten(10)warking days after submittal date.. Required onsite,Construction Plans,Stormwater Plans w/8ilt Fence installed, SaNtary Facilities&1 dumpster.Site Work Permit for al!new projeats.AI!commercial requirements must meet compliance SIGN PERMiT Attach{2}sets af Engineered Pians. '""PROPERTY SURVEY required for all NEW construction. Directions: Fill aut application completely. Qwner&Contractor sign back of appiicakian,notarized tf aver$2548,a Notice of Commencement is required. (A/C upgrades over$7544} "* Agent(for the contractor)or Power of Attamey(for the owner)would be someone with notarized letter from owner autharizing same 4VER THE COUNTBR PERMti'ttNG (copy af contract required} Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on.pubiic-roadways:.needs ROW� .i1=�=i�;'.�;:.-.,... ,- ,. _ • ., ' ��� - •��- .;,.� � .:,� -. � • , , . , -,:`^�:.�..,, s` � • ` , �::���.. -- ' � " ' -�,.�.,,.,,....,. � . � -. � � � -- . i� � NOTtGE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any appiicable deed restrictians. UNLtCENSED CONTRACTORS AND CONTRACTOR RESPONS161LITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the cantractor is not licensed as required by law, both the owner and contractar may be cited far a�misdemeanor vioia#ion under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply far the intendecf work, they are advised to cantact the Pasca Gounty Building Inspection Division--�icensirig Sec#ion at 727-847- 8009. Furthermore, if the owner has hired a contractor ar con#ractors, he is advised to have the contractor(s) sign portions af the "contractor Block" af this application for which they will be respansible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not en#itled to permitting privileges in Pasca Caunty. TRANSPORTATION IMFACTIUTI�ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unders#ands that Transportation Impact Fees and Recourse Recavery Fees may apply to the constructian of new buildings, change of use in existing buildings, or expansion.of existing buildings, as specified in Pasca County Ordinance numbe�89-07 and 90-07, as amerided. The undersigned also uriderstands, that such fees, as may be due, will be identified at the time of permitting. It is furkher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta reeeiving a "certificate af occupancy° ar final power release. (f the project daes nat involve a certificate of accupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/5ewer Impact fees are due,they must be paid priar to permit issuance in accordance v+rith applicable Pasco County ordinances. � COTlSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I cerkify that I, the applicant, have been provided with a copy of #he "Flarida Construction Lien Lav�Homeowner's Pratection Guide� prepared by the Florida Department of Agricuiture and Consumer AfFairs. if the applicant is someone other than the"'owner", I certify that I have obtained a copy of the above described dacument and promise in good faith to deliver i#to the"awner"prior to commencement. � CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this applica#ian is accurate and that all work will be done in compliance with all applicable laws regulatir►g construction, zoning and land developrnent. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has � commenced prior to issuance of a permit and that all work will be performed to meet standards of afl laws regulating � construction, County and City cades, zoning regu(ations, and land development regula#ions in the jurisdiction. I alsa certify that I understand that the regulatians of other government agencies may apply to the intended work, and that it is i my respansib�lity ta ider�ti�y what actions 1 must take to be in compliance. Such agencies include but are not limited#o: - Department of Environmen#al Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive �� Lands,Water/Wastewater Treatment. - Southwest F(arida 1Nater Management District-Wel1s, Cypress Sayheads, Wetland Areas, Altering Watercourses. �� - Army Corps of Engineers-Seawalls, Docks, Navigable Waterv�rays. - Department of Health & Rehabili#ative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. 1 understand that the foilawing restrictions app(y to the use of fi(L• ' - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - tf the fill material is to be used in FEood Zone "A", it is understaod that a clrainage plan addressing a "compensating valume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Flarida. - If the fill material is ta be used in Flood Zone "A° in connection with a permifted building using stem wal( constructian, I certify that fill will be used anly to fill the area within the stem wall. - If fill material is to 6e used in any area, 1 certify �tha# use of such fiEl will not adversely affect adjacent praperties. If use of fill is faund to adversely affect adjacent properties, the owner may be cited for violating the conditians of the building perrrtit issued under the attached permit application, for fofs Eess than one (1) acre which are elevated by fil(, an engineered drainage pian is required. ' If I am the AGENT FOR THE OWNER, l promise in good faith to inform the awner of the permitting conditions set forth in '� this affidavit prior to commencing construction. 1 understand that a separate permit may be raquired far electrical work, plumbing, signs, wells, pools, air conditioning, gas, ar other installations not specifically included in the applicatian. A ' permit issued sha}I be construed to be a license to proceed with the work and nat as authari#y to violate, cancel, alter, or set aside any provisians of the technical codes, nor shall issuance of a permit prevent the Building Official fram thereafter , requiring a correction of errors in plans, construetion ar viQlations of any codes. Every permit issuecf shall become invalid � uniess the work authorized by such permit is cammenced within six months of permit issuance, or if work authorized by � , the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An ex#ension may be requested, in writing, frc�m the Buitding 4fficial far a period not to exceed ninety{90) clays and will demonstrate � justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARIViNG TO OWNER: Y�UR FAtLURE TO RECORD A NOTICE OF CQMMENCEMENT MAY RESUI.T 1N YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YC?U lNTEND TO OBTAIN FINANCING,GONSULT UVITH YCUUR I.ENDER OR AN ATTORNEY BEFORE RECORDING YOUR Nt�TICE OF GOMMENCEMENT. FLOFtIDA JURAT(F.S. 117.03) - -- OWNE#t Oi2 AGEfii'C �--- -_ __ ____ �_.---- CONTRACT�R�`� � Subscribed and swam to(or affirmed)before me this Sub cri ed and sworn to(o'��befo��r"—e m�e.this — aY ��1�j�bY Wha islare personatiy known to me or hasltiave produced 1Nho is/are persanalty known to me or has/have produced as identiflcation. as identification. Notary Public - t �� Notary Public Commission No. Com, ission No.� �(���?��1.,� �. .�� �l�z.�r� ��,�'��� Name of Notary typed,printed or stamped Name of Natary typed,printed or stamped ��'�+�.�...�.��+ g ;:.";���:::.. '-'�=�RAELAINE RUFFELL .. :..Commisstort#GG 045343 ;_=.;:;'��;a;'Expires November 7,2020 . .... � BoodedThruT '"%'`�„•• Fainlruu ���� rof' rance800-365�7019 c„"'^c_'v�-'Tm'^-`*'t..,�„-F.r: :«."'�-.-r��-'^, -.�^�^'e.,n.,=v�.... ...���'""�"' � . .... I ... . _�«..« _.a �....i..,.. «.�..,v.,.r«. .. � . . .... _ ...._ � r , • • ��� �� � � � � *� (��es� :Gl�clr���l, Iiic. P,�. ���t ��i� Zep���rrhills, �'L� ��5��3-fl►8�2 Et113�{�13�3 I�har�e(8�13� �8$-0�91 E�i�ai�: l'4C��'C I�'C�i_1C�t7��t�1s�.�I.��rn ..r-�._- ,.�a 1"��r�h 22g 2t�1� R F:; I'er��.�i� �I 9256 3���0 I�]'aom.i��,.��cnue ��ph�rit;}.1i�1�, k".I, 33��2 Tc� 1�V'�c�m ��t IV�a�� Goz�c��An, Please ���r��el t��� ��it��`� refer•e��c�� p�rYnit �s th� Q����er l�as c,�rlceled this pr�j�c� a.� lhi� iim�. Thank vou. . <�������.,..-��.- . �`�ic�r�.�s �. Rccs� � .