HomeMy WebLinkAbout18-19336 CITY OF ZEPHYRHILLS
� �� 5335-8th Street
(813)780-0020 � 36
ELECTRICAL PERMIT �,.��
- �_ = - PERMIT INFORMATION - - - - � - LOCATION INFORMATIOfV ` �
Permit#:19336 Issued: 2/21/2018 Address: 5150 10TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. !
Class of Work: ELECTRICAL MISC Township: Range: ,
� Proposed Use: NOT APPLICABLE Lot(s): Block: Section: j
Sq. Feet: Est. Value: Book: Page: '
Cost: 200.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS ,
Amount Paid: 45.00 Date Paid: 2/21/2018 Parcel Number: 11-26-21-0010-19500-0070 �
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROGERS ELECTRIC Name: MADEIRA CAPITAL FUND LLC
Addr: 33184 PORTAGE PATH Address: 3812 N TAMPA ST
DADE CITY, FL. 33533 TAMPA FL 33603-4744
Phone: (352)583-5611 Lic: ER0012229 Phone:
Work Desc: SAFETY INSPECT NO POWER FOR YRS-DUKE REQUIRE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS R UIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER f•, rn.�
FINAL / 4�j
� ��
�
�
REINSPECTION FEES:(c)With respect to Reinspection fees will o ply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount o 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.
� i
"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 j
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. �
� I
�
1
CONTRACTOR PER OFFI ,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I - �
u�s-iau-uuzu C:ity ot zepnyrnu�s Nermit App�ication rax-s�s-iuu-uu�i
• Building Department _
_ -- , �
p M i
Date Received ,
- �.Phone Contact�.for Permitting — �
�
� ! '
Owner's Pfame Owner Phone Number . ,
, .. � !
� Owner's Address Owrner Phone Number
1 .
` i
Fee Simple;Titleholder Name � - OwnerPhone Number
� �'�,�v �dTk� ��-- �
Fee Simple Titleholder Address ..� '
� S., �SU ��,� ST ;
JOB ADDRESS LOT# � I
i
SUBDIVISIOM PARCEL ID# .-
; , (OBTAINED FROM PROPERTYSAX NOTICE) �
ViIORK PROPOSED , NEW CONSTR' - ADD7ALT 0 SIGN Q � Q' DEMOCISH � !
B INSTALL e REPAIR
PROPOSED USE Q SFR Q CON1M � OTHER ` �
TYPE':OF CONSTRUCTIOfV Q� BLOCK - Q FRAME Q STEEL Q
DESCRIPTION OF WORK '~ �. �V�' � �✓/�'�rf �WT`��1�Uw %✓v �V�✓W` i ��� �JnS
,� ,
BUILDIPIGt$IZE � SQ`FOOTAGE�� �HEIGHT • __ , '
OBUILDING $ VALUATION'OF TOTAL CONSTRUCT.ION
i �
�LECTRICAL $ �� /�--� AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
, � (J 1J
I QPLUMBING $
, I
QMECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION ����/� /� 3��
_ , V �
;
QGAS Q ROOFING Q_ SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ,
BUILDER ; COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
�
� (J i
EI:ECTftICI� ; � COMPANY I��r' C-�"� �����'1 � , �
-SIGNATURE �`���� �����'f REGISTERED Y/ N FEE GURRE� ' Y/N. ;
aad�ess ����`� ����'V'�. �"T�� - ��cense# � O t1 l ZZ 2�°
� PLUMBER'. . 'COAHPANY �
SIGR�i4TURE REGISTERED Y.-/"N ` ` .FEE CURRE� Y/N
, , -:i- _
_ . �
Address - Licen'se#; �
- -; ..r'� �
i
�°.' MECHANICAL� '� � � ..COMPANY i
i �'"`SIGNATURE'`-''� -' �� � REGISTERED ,' Y/ N EEE CURRE� Y/N �
, A�ilressir`-� . ' : , License.#
, <� . ,. _ � ,
OTHER:�.:�::.: - . , . , 'COMPdWY _ ,
;�':'$IGN14TURE',;*:r:: ;.r ,� ' ' REGISTERED ' Y/.N FEE CURREK , Y/N i
_ Address�;� . �..r,,:• _ �;z;:�r.�.I;., . - :� - . License# I
�
. ,.� .. ' . .. _ .:,-a- >�.�>-�. . ., . , . . .
: . ... . , . .� t , .. , ..
. ,, . , . . . . _ . ,
_ '�v. - �z= ,
F( f _
�'��RESIDENTI"AL't�_=A 'ch';>2. FI,.yPlans� � -o�B�ildin aPlans�`1=�s 't'of Ener'� 'Fo' s•R=O=W.Pe �it orrnew,construction.
, . , . ,,.�„ _,(...)�.�ox,... .�l2.)"sefs u g �( ) .e sY. .� �. ;.�.,- R" �. ;:��. . �
. �. 4 - . - , _.�- - _ ,:.
, -:.,_..�;x-::Minimum;tenu(�1Q),working�day�_;aft"_e"rsutimittal:'date.:3Required��onsife;'Con'struction Plan"s,�Stormwater Pl�r1s w/Silt Fence installed,
;,: • . ..�wa:._:.;��,, � . t� . . .
;��,=r ; , �4 Sanita,ry�lFacili6esr&1+dumpster;,SiteVllorkPecmitfo�si�tidivisions7large'proj�cts ;,: ' :`� ' � �
:,;s;COfiiIMERCIAL Attach`�(2)=compleCe's'efs of'BuiliJing Pi`an"s plus a 4ife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
---t�=�'.� �=� _ � -- "Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,
-_;,,',' Sanitary Facilities 8�1 dumpster._Site Wo�lc_Permit,fo��all,new projects.All commercial requirements.must meet compliance '
,:< :_ .
- ,.��..�_ ..:�....t�. _.. ; ._
��'SIGN':PERMIT �Attacfi°(2)setsagf:Engineered;Plans:��:<�� :��� _ • • � � �
a�,fi_; ,
;�>?�>� "'"PROFERTY SURVEY.regutred.,for,all,NEW�construction._ .
,.. .,.�..__ . . ,.._ _a ,�_. .�. :
F:• . ..
.
... .
.: .. .
_ .. . .
�:�Qi�ections: ¢-'•?R°�:«"c.i3..�. - '
_- � Ftlf outapplication completely.~s - �
_ Owner.8�Contraotor sign:6ack ofapplication,notarized �
_ If.ovee$2500;.a Notice.of:Commencement ts Pequieed. (A/C upgrades over$7500) _ , �
��� ,.->_..,:.„;,,,�..,
':";- Agenf(for'the�cont'ractor)=or°Power of Aftomey'(for tFie'owner)would`6e"someone with notarized letter from owner authorizing same
;�.OVER:THE�COUNTER P,�RMITTINCa`, (copy_of contract:required) - - - �
�;'Re�o'ofs'-if sfiingles �� Sewers Service Upgrades A/C Fences(PIot/Survey/Footage) �
� :...�,-.:� „- .. .
"Dri"veways-Not over Counter if on publicroadways:`:needs'ROW
- — ., .... _s .
� _,_ . iw- . :,,i�
NOTICE:.QF DEED RESTRlGTIONS: The undersi n.e�tunderstand�.;tk�a#; V '-� `�''��":"��'���' ,
g, - - .�his;permit_may=be�subject�tq�".dn ii�'s_c�estri�
e. c�ionsw,.�
��,. ,. ...,,.:,. .._..., ,-. .. .,�. . _ _ .+,,,> '�j: a.F;.: ..,bsy=^r§S'te;.i.' .:r-n s -
.:ia°.r.,,.;�..,;;;,'^"C`'.jtT«,�`^::�`. _'s;a>r`.''°34'=, �id::,a,•::< . �'�5 �+ .eifi?'z.. ;.z.�,.>:�=.C.,;�;�:::i,
.. .... :.� �,.... �-:>
which;may�ti;e�more;�r,esttictive;�thanECourity:regUlations:��The�unders�gned��`ssurne"s�5responsibit�ty'fior.rco�plrance"�vrnth_�an.y. Mt
.: . _ ,
applicabie deed,cestrictions. � .; - . • - " �
� 9 .-. ._ ... :t„ _,<y� -�� F.�� � -.�: s�
. . _.-::.;y-
UNLtCEN,SED;:�CtiNT�2ACTORS` AND�CONTR�►CTOR RES.P.;�NSiI�IL:ITIES:,-�If�fheroiivne�`=fia's��=hired��a�contractor or
,�
cont�actors-#o undertake work; tF�ey,may,be.:required�to be;lic�ensed;in accardartce:with.staterand;:�locai:;t�eg,ula#ioi�s:::"�tf�.the����=4::r; ' ;
, , ,., .__. .,. ;�.:....�;.;.�.,�., �.�,:,;:.,:�; r r,�;-�- • -
. �
•contractor�s.nbt af i�erised>as:°requiretl by`law,x both=the oinrner:=arid'co�ifractor�=may=�be�cifed far�aAY�rtistletnear�ar v�oia#ion• �.# ° ;
under state.law. 1f the owner.or,intendea.curatractor a�e�uncertain as.ta what.(iaensing_requ��eria�erits�s�nay�tapply;�;€oi�ttie:����-� n
�5fii '1 S 4., `.
intended workr.they:are=advised�to`corttacrfhe,Pasco_Caunty'Bui[di�g:_Inspecfion`�D.iv�sion �L�censing S.e�tion at 72}7=847= ; ,; ;
8009: �F�arthermore, if the owner�has °hired''a`cont�actor or contracto�s, he�is advised�ta`'have.-the.,�ontractor,,(s�Yvsign„<<;�� w� �
partions af the "contractar 81ack"_af this application_for wh,ich�they_-will..be.responsible,:=if;-.you, astthe o�wner''stgn as rthe ;� , : h
contractor., t�iat.riiay tie an indicaf�ori�#ttat�he��is`ncit praperiy ticensed�antl i's naf entifi�ed`�to permitting jirivileges_.in�Pasca�ll,,,;�::� �":t j;
�.�:7_...s..�z..r�,;n E:�r
Ci01Jt1t�/. : . _. �_ .., �. , � ,�;' i
TRANSPORTATlON�IMPAC7lUTILITIES�lMPACT AND RE50URCE RECOVERY"�EES: ""The iirider"signed-under,starids_ �`� ��y"� �
#hat Transportation Impact Fees and Recourse Recovery Fe:es��may�apply ta:the..aonsttuctian-of.-newtbuil.dings,�_chaiige�a��'��``:=r ��.;
use in euisting�bui18'ings,�or�expansi.on of.exist'rng"buildir�gs, as specified in Pasco County Ordinance number 89=07 and, '}� ��
90-07, as amended., The�.undersigned also u�der.stands,�that.such;fees, as�;may,�b;e��due;=will�be�;,id�ntified°�at:'tl�e'�time`�of'��tiYj'�;a` �>� ,
' permitting. =1t �s�further understood that Transpo�tation lmpact Fees�and Resou'rce fRe�overy Fees:must be paid prior to ', ;;: �
receiving a °certificate.of occupancy° or fina! ppwer release. if th�:projeet does not invcilve.a c�itifcate af acci�pai;icyPor��>=;;�, '�;' N'
;�
final.power release�;ttie<fees-must be paid prior. to permit�ssuance.,�::furtliermore, if Pasco.Gour�ty W�terl.Sevuer�;lmpact;-:x�°` K
; fees are:due,:tlie.y,.,must-be=:paid prior ta permit'issuance in.accordance with�_applicable,Paseo County ordlnances. �
GOIVSTRUCTtON LiEN LAW(Chapter77�3, Fl�arida Statutes,as amended): If valuation of work is$2,,.50,0;00._or.mQre;�:ls;..f,- • ;;
certify fhaf-1; the applicanf; have been. pravided wi#Y� �a copy,.af.the "Flarida "C:onsteuc#ion`='Lien :Lav�r-�Homeown�er"s ' �
Protection Guide° prepaFed-by the��for�da Department of Agricuiture and Consumer-Affairs. If the app(icant�is_��s.am.�one:.r, !
,��,.,�.,,:.,:,,
other than the°ourner",;I certify that;l__have obta�ned a copy of the above.de�cribed',dooumenf�and:.promiseYin goo,de�faith`.to: . „
deliverit;to`tF�e°owner"�p�ior�to-coaamencement:' � �
CONTRACTQR'S'/OWNER'S AFFIDAVlT;. l;cerkify that all.the information in this application is accurate and that alf inrork
� wril( be done in compliance with all applicable�laws regulating construction, zoni�g and land-development. Applicatian.is ��,
hereby�rnade to obtain a:.pecmit #o�do;:work �and installation as �indicated, I certify fhat no wo�k or:insfaltation�ha`s ;,
commenced priar to issuance of a p.errrii# and��tha# ali wark will be performed to.meet sfandards�of all laws regulating 'i
� construction, Caunty and Ciiy cades, zoning regufations, and land development regulatians in°:the jurisdiction: ro�1`�also %�; ��
certify that I understand that#he regulations of athe�governmen#agencies may apply-ta the interided wor#c, and#hat it is ��w 4`
my responsibility to identify what actions! must take to be�n.campliance. Such agencies�ncfiade but are not<limited„ta:. '
- ,Department of Environmentaf:''Pr:atection=Cypress�Bayheads; Wefland Areas and Environmentally�Sensitive ���:� �'
Lands,Vllater/Wastewater Treafinent. � s s
- Southwest Flarida Water Management District W�II.s, Cypress .Bayheads, Wetland Areas, Altering -�' i
Watercaurses. z , r'4 �
- Army Gorps of Engineers-Sea�ralls,Docks;Navigable Waterways. :�; ��
- De a�tmen#.of H�alth.,& Rehabilitative.Ser,v�ces/Environmen#al .Health _Uitit=Wells, W�astewater.Treatrry�nt�. �<. ��
Sepxic�T�anks.� � �'
� �"
- US Environmental Pcotectian Agency-Asbestos.abatement. , ;,� ,
- Federa,l�Aviation-Authoci#y-Runway,.s..
I understand that�.the fo!lowing�restricfians apply fo�he use af fili: ' i�
- Use of fill is no#allowed in Flood Zone"V"uNess expressly permitted. � ;
- If #he fi1F inateriaF is to be used in Flood' Zone "A", it is understood that a drainage ptan addressing a;
"compensating volume" will be submitted at time of permitting which is prepared by a professional eng�neer; " ;
ticensed by the Sta#e�of Fiorida.
- ff the fili materiai is ta be used in Fbod Zone "A" in connection with a permi#ted building using stem wall{ ���
construction, 1 certify.that-filf'wilf be used only to fif!the area with'rn the-stem wa1i. . , _
- !f �II� ma#erial is•to be used in'any area, 1 certify that use of such�fitf uvPll not adversety affect adjacent! `
properties. If use of fill is found to adver.sely affect�adjacent properk9es, the owrter may be clted for violat�ng; '�� f�'
the conditions of�the:building,pe�mif issued under the�attached peCmit.applicatian, for lots less than ane (1}f �;�: ��
acre which are etevated by fill, an engineered drainage plan is requi�ed. � �,,, }-.`
If I am.the AGENTfOR.THE OWN.ER;:I:promise in_goad faith to inform the owner of�fhe�permitting�conditions set forth in? :;
this affdaVit pr�or tio cammencii�g cotis�ructian. ( u�nders#and tha#,a,.separate permi#may be required for elecfrioal wack,;. F;- �
plumbing, signs, wells, poflls, a�r.;condit�onfng;:�gas,..or ottie�'installatians not speciftcaily irtc#uded in the applicafian, A�. : :�� sY; '
permit issued shall'be`consCrued°to�tie a license�to procesd'iarith the work and not as.aathorl#y-ta violate, cancel,alter, or; �Xk ��
y provisions of`tfie"technical codes, nor shall issuance of a permi#prevent the Bualding Official from thereaf#er� �'``
se#aside an � ��
requiring a correc#ion af-ecrocs in:plans;�consfruction..or.-viola#ions ofany�codes.--Every permit issued shalf become invalid; i�ti i`�
unless the work authorized by such permit is cammenced within six months of permit issuance, or if work authorixed by� �,:;t '�'�
the permit is�suspended.or-abandoraed�for a period;of:six{6}'months af#er the#tme the worlc i�commenced. An.exfension; - � �1;wT ���
may be requested, in writing,.fcom tlie Builii�ng�0#icia! for a period noE to exceed°ninefy(90} days and vu�lf iiemonsfrate; �,; t
justifiable cause for the extension. If,,wor.k ceases for ninety(90)consecutive days,the jo6 is considerec!abandoned. � '_� �
' . - . . , , i c;� �
WARNING`TO`OWNERc- YQUR:.FAt�URE,TO ,R��ORD�;A NOTtCE QF COMMENCEMENT�MAY�RESULT IN YOUR� T`r� `j
,�._..: ,..�:.:. ,.. . .. ,�.sc ._,� , .. .: � ��` ��
PAYING TlM1GE:'FQR�lMP�20VEM�NTS�;�,TQYQUR`:PRI�PERTY:�:i�,Yo�r�INTEND=T0�8BT�A#N;:FiNANCING'; CONSULT �
;:. ,.;
WITHYC?UR"LENDER Cl`RYAN ATTORNEY BEFbRE RECO�tDlNG'YOUR N4TICE��Ofi=Ct�MMENCEMENT ' y: j.�
FLORIDA JURAT(E.S.117.03). - � , ,. , , , . = „ . , � _ . ' ,:',
OWNER�R AC,ENT GONTRACTOR >i '
Subscribed and swom to(or afflrmed)befote me thls Subscribed and swom to{or af�rmed}before me this �- f
by by
Who{s/are personaAy known ta me or haslhave,praduced �_Who islare personalfy known to me ar hasJhave produced �
as Identlftcatlbn. as ldentlflcaUqn. '
Natary Public � Notary'Publlc
Commtsston No. Commisslon No.
Name of Notary iyped,printed or stamped Name of Notary iyped,pdnteci or stamped .
���,