HomeMy WebLinkAbout18-19399 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 9
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19399 Issued: 3/05/2018 Address: 38524 NAOMI AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,500.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 3/05/2018 Parcel Number: 02-26-21-0050-00000-0120
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: LAND TRUST NO 19352 GORDON NIKOL
Addr: PO BOX 251 Address: PO BOX 2452
CRYSTAL SPRINGS, FL. 33524-0251 LUTZ FL 33548-2452
Phone: Lic: Phone: 813-778-8229
Work Desc: ELECTRICAL MH SAFETY INSPECTION WIRE-PER CODE ENFORCEMENT
ELECTRICAL FEE 50.00 APPLICATION FEES
/I n
ROUGH ELECTRIC M INSPECTIONS REQ ED
CONSTRUCTION POLE V_/
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.
J7
CONT CTOR PER P
FFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application rax-s�"s-resu-uuLi
Building Department
s'
Date Received Phone Contact for Permitting
Owner's Name Owner Phone Number
Owner's Address . �� Owner Phone Number
Fee S1mplelTitleholder Name' a OwnerPhone Number
Fee Simple!Titleholder Address
JOB ADDRESS J a 0 A Q LOT#
SUBDIVISION.
UBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW.CONSTR ADWALT 0' SIGN = 0" DEMOLISH
= INSTALL El
PROP,.OSEI);USE 0 SFR Q '7COMM' 0 OTHER
TYPE!-OF CONSTRUCTION' _` 'BLOCK 0 'FRAME = STEEL 0
DESCRIPTION OF WORK 8 - G�
BUIL"1)ING'SIZE SQ`FOOTAGE� HEIGHT
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
.i'al X
ELECTRICAL $ /�^Q y AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
.=PLUMBING $
MECHANICAL IsVALUATION OF MECHANICAL INSTALLATION
=GAS =. ROOFING- 0, SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS x FLOOD ZONE AREA =YES .NO
i
.BUILDER COMPANY
SIGNATURE REGISTERED Y7 W. 'FEE CURREN - .. Y'/N. '
Address 'License#
`ELECTRI,CIA . COMPANY
_".:SIGNATURE REGISTERED Y/,W- L• Y/N.
Address' /� `J ,/ License# `. ®D
.r
PLUMBER.1 COMPANY•,
-SIGNATURE REGISTERED Y.-/ N, ' FEE CURREh Y/N
Address License#;,
'MECHANICAL' COMPANY
SIGNATURE '. REGISTERED Y/'N FEE OURRE�. Y/N
Address:,;...; LicenseF777
.#:
`COMPANY
r'SIGNATURE -;,:; REGISTERED Y/.N FEE CURRE� Y/N
Address�.. - :; - 'f License
.;RE$IDENTIAI:a s; �AttacMPiot`P-.Iansr 2+eels of Buildin -Plans, 1 ,;set&Ener'y -Form§ R=;O="' Perriiit fornew,construction:.
da' r w-
,. „g,:: y.afte�.sutirnittal�`date:4 equirW1drisite;Gonstrueti'on.Pians;Storrnwater Plans w/Silt Fence installed;
:���:„. . • '`'� ` 'SanitaryftacilidesR&Y1�dumpster;`SiteWork Perm_it:farsutidivis'ions/large projects ""'_�•'• :.
`.is:COf1AMERCIAL Attache(Z)complete sets of'Building Plans"plus a l.ffe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stonnwater Plans w/Silt Fence.installed,
Sanitary Facilities&.1 dum ster.Site Work l?eimit for alhnew,pr'jects:All commercial requirements must meet compliance
A<SIGNPERIVIIT Attaa?i'{ )'sets;ofs`Engineered;Plans: j.
`PROPERTY SURVEY required--for.all.NEW._,,constructon:.
Fill. ut:application completely.~ Y
t'7wner' Contradtorsign.back of application,notarized
iry' If over:$2500;.a Notice of:Commencement is required. (A/C upgrades over$7500)
."' Agent(for'the-,contractor).,orPower of"Attomey(for`the owner)would"fie someone with notarized letter from owner authorizing same
7%OVER THE COUNTER`PERIIAITTING;_:::....;(copy of contractirequired)'
Rer6. if shingles Sewers Service Upgrades.A/C Fences(Plot/Survey/Footage)
:Driveways-Not over Counter if on public.roadways:needs ROW
, ._
NOTICEbF DEED:RESTRICTIONS: The undersignedr.understands;:that this,permit.may.,besubject tou:.deedh.:restrictions;.;-.
whicta4may be more restrictive tllan.CoUmyredUI9tIdn Ttie undersigned assumes respon`slbitily'fior.co apllarice �th=any`' s
applicable:, 6ed restrictions.
UNLICENSED,C'TRACTORS:.,ANL?' CONTRACTOR RESPC?N$IBiLlTIE^ If tF e>=ovvrter`=f'as Bre t°'a;contractor or
contractors to undertake work,they maybe,Tequired:ito beAlcensed•in accordance with.state;and��iocal-,regulations,;,'1-;#ii'e=r °
contractor'is-not:licensed as re'wired`"ti .'lavtii' 'tiofl :the owner and contract`r m' ex''' `i' `"`�i "` `'
q, y a ay.b cited-forfia rn�sdemeanorviolatron .
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under state.iaw. If the owner.or;Intended,contras#or. are,uncertain as.to what,licensing,requ'iiremer.0n!aye apply for the-:�-�_:;`,
m#ended'work;ahey:are advised:to conactthe'Pasco,Courity'Building'Inspection.Division-=Licensing.Section at':72?=847
8009. Furthermore', If the owner has"''fired a contractor or contractors, he is advised #o:ihaue #he,.coritrac#or{s}:
�M
portions of the "contractor:Block"..of this application forwhich;they will:be.responsible.--if.you,'ash;tl e`:owii'er'sign�.-as„:tFie ` `F ,
contractor., that may be an indicationthat'he is not ro erl 'licensed and'is not'entitled`-to permitting r(v(le es in Pasco Y p - Y P 9p 9
County.
TRANSPORTATION=IMPACT/.UTILITIES--IMPACT AND RESOURCE RECOVERY FEES: Tfie undersign ed.understands:.
thatTransportat(on impact Fees and Recourse Recovery Fees'may:applyto.fhe.construction.of rzew:buitdirigs,.changeofj= ==_. f:
use in existing buildings„orrexpansion>of�.'ex1900 buildings, as specified in Pasco County Ordinance number:MOM, an'd,
90-07, as amended. The,undersigned:also.understands, that.such:fees, ass may t e,due,'will'be identifiedtat*ttie
permitting. if is-further understood that Transportation Impact Fees and Resource ftcovery Fees must be paid prior:,-to
receiving.a."certificate of•occupancy" or final.power release.. If the,project�does not1nvolve:a certificate of occupan"cy`.aoi g!s
final;:power releases,,:he-fees:must be-.pald prior to permit issuance.:_.Furthermore,.lf-Pasco County Water/Sewe_r;impact.
fees awdue,:they.,.must;be.:paid-prior to,permit Issuance in°accordance with'applicable..Pasco.County ordinances.
CONSTRUCTION IEN GAW(Chapter7'I.3; Florida Statutes,as amended): If valuation of work is$2, 000 00-or:more;�I
certify that i, the. applicant, have been provided with a .copy;:of.the""Florida` C:onstruetion�k�ien..Law-Homeowner's
Protection Guide" prepared-by the'Florida Department of Agriculture and ConsumerAffairs. If the applicant ls;.someone,;. ;. .
outer than the"owner",:i,certlfy that;i.,have.obtained'a copy of the abaye'd'escribe.-rumen-and pcomise=in:gootl;;faith;
deliver,it,to'the:"owner"'pFior.�to'.commencement:
CONTRACTOR'SIOWNER'S AFFIDAVIT:°_i;certify#hat=all-the information in this application is accurate and-that alrwork
will be done in compliance with all applicable laws regulating construction, zoning and 16"d,deveiopment. Application,is,
hereby.,made to.obtain,:a :permit?.#o :do°uvork' and_.instaliation .as'>indicated., I:certify that no-work or anstaliation'-has
commenced prior to issuance of'a permit and"that all work will be performed to,:meet:standards-:of all laws regulating,
construction, County and City codes, zoning regulations, and land development-regulations`im-the jurisdiction. °"False
certify that I understand that the regulations of other,government agencies may apply-to the-.intended work, and that it is
my responsibility to identify what actions i must take;to,b,e in.compliance..Such,agencies-include but:-are not,l(mitedto
Department of Environ' enter'Protection=Cypress' BayFieads; 11Uetlarad Areas and Environmen#ally Sensitive
Lands,WaterMastewater Treatment.
Southwest Florida Water Managomerit District-Wells, Cypress -.Bayheads,- Wetland Areas, 'Alter,ing Y
Watercourses. I
Army Corps of Engineers-Seawalls, Docks; Navigable Waterways. '
Department,of Health,.,& Rehabllita#ive Services/Environmentali.Health ;Unit=Wells,-Wastewater,Treatment,
SeptleTanks.
US Environmental Protection Agency-Asbe_stos,abatement.
Federal-Aviation:;Atithority-Ru nways,.
I understand theit4l e'foliowing°restrictions apply to°the use of fill: j
Use of fill is.not;allowed in Flood Zone"V"unless expressly permitted.
If the fill materia!As to be used in. Flood Zone "A", it is understood that a-drainage plan addressing,a
"compensating volume" will be submitted at time.of permitting which is prepared by a professional engineer.
licensed bythe'S#ate-of Florida.
If the fill'material is-to be used in Flood Zone "A" in connection with a permitted building using stem gall.
construction, i certify:that-fill will be used only to fill the area within the.stem wail.
- If fill- material is to:be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of All is found to.adversely affect:=adjacent properties, the owner maybe cited for violating
the conditions-6f4he building;perm t•Issued under the attached permit.application,.for.lots•less than one 6)
acre which are elevated by fill,an engineered drainage plan is required.
if i am the AGENT FOR THE,OWNER'; -promise in.good faith to inform the owner of-the-permitting-conditions set forth in r'
this affidavit priorto commencing construction.'':T�understand that.a separate permit may be required for electrical work,... t 1`
plumbing, signs, wells,..pools,.air„conditioning,,gas,...or other'iiistallations not specifically included in the application- A.,,
permit issued shall-be',constmedlb'be a license"ta.proceed`with the work and not as authority.toviolate,:cancel„alter„or
set aside any provlsions of-the_fechn(cal codes, nor shall Issuance of a permit prevent the Building Official from•thereafter ?-"}
requiring a correction:of-errors in plans;=construction or;violations-of codes: Every:permit issued-shall-become invalid
unless the work authorized by such permit is commenced.within six-months of permit issuance, or if work authorized by
p
the permit Is suspended.or abandoned for a- enodof six'(6)"months after the time the work is commenced.,-An extension
may be requested, in writing,:fro Y ing'Official for a period.not to exceed ninetyr(90) 'days and will demonstrate
justifiable cause for-the extension..,If.work ceases for ninety(90)consecutive days,the job is considered abandoned: :
WARNING TO-OWNER.,:'YOUR:.FAiLURE:TU;RECORQrA-NOTiGE.OF COMMENCEMENT•MAY•RESULT IN YOUR
PAYI1dG.,TWICE'FOR'IMt?tOYEIVIENTSTO YOUR PROPERTY. IF YOktsiN�FEND°TO OBTAiN'FINANOiNG;CONSULT ;-.
IMITH'YO.UR-LENDE�2`AR'AN ATTORNEY BEFORE:REC.ORDING YOUR-NOTICE=OF--"COMMENCEMENT:
FLORIDA JURAT(F.S.117.03) _. ..
OWNER OR AGENT CONTRACTOR
Subscribed and sWom to(or affirmed)before me this Subscribed•staa r affirmed)befor this
by
Who is/are personally known to me or hasthave produced Who Is/arc ovally_'own to me or has/have produced. I
as Identification. as Identification.
a
Notary Public Notary Public
Commission No. Com iss' n Nmaim
IG/ ,,MVPR aoGES
__ - nn„�s # -F 1.2
Name of Notary typed,printed or stamped Name of Note ]Odd;prJ0taf*fatft per.''
F6d;•' ..T`'eiroyrannsa;ceOiA•34sr�is