HomeMy WebLinkAbout18-19407 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 19407
ELECTRICAL PERMIT
PERMIT INFORMATION --LOCATION INFORMATION
Permit#:19407 Issued: 3/06/2018 Address: 38524 LANSING 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: 1,447.00 Total Fees: 50.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 50.00 Date Paid: 3/06/2018 Parcel Number: 02-26-21-0260-00000-1320
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: GANGLE KAYLENE A
Addr: 39111 PATTI RD Address: 330 E CATAWBA AVE
ZEPHYRHILLS, FL. 33540 AKRON OH 44301-2622
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACE 150 AMP METER PANEL COMBO r1rro J211 066 -7D
APPLICATION FEES
ELECTRICAL FEE 50.00
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 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.
G&
CONTFWCTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-s13-78U-UUZ1
Building Department
Date Received phone Contact{for Permitting"
Owner's Name 4 -P Owner Phone Number To":
Owner's Address Owner Phone Number
Fee SimplelTitleholder Name Owner,Ph'ons Number-
Fee Simple7itlehoider Address
JOB ADDRESS !j om LQ LOT#
SUBDIVISION PARCEL
C�2 J��'�I -04 j�-
{ (OBTAINED FROM PROPERTY-TAX NOTICE)
WORK PROPOSED B NEW CONSTR'e ADWALT Q SIGN Q = DEMOLISH
INSTALL ,REPAIR
PROI?OSED;USE = SFR = '`COMM = OTHER
TYPE`OF CONSTRUCTION 0', 'BLOCK 0 ''FRAME _. STEEL Q...
' `I 6
DESCRIPTION OF WORK Y' e`e 50 ' � T � a--
i
BUILDING'SIZE SO--FOOTAGE=• HEIGHT •.
=B,UILDING $ VALUATION'
OF TOTAL CONSTRUC ION
ELECTRICAL $ AMP SERVICE 156 PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
i
� v
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS 0; ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
HFH i iiaiiii oil Nis lHHH-Bill 111 1H'H'III
:BUILDER COMPANY'
SIGNATURE REGISTERED Y"/ N' FEE CURREN
Address 'License#
`ELECTRi,CIAN /�J /JC� 1 :COMPANY . Ll.U1.P vv l
-,,,SIGNATURE / REGISTERED Y/ N FEE CURREN
Address` t' License:# ld
eC Od 6_?_6
PLUMBER.f COMPANY ,.. .
SIGNATURE REGISTERED Y/ N.'' FEE CURREN Y/N
Address License
>:MECHANICAL' COMPANY
•SIGNATURE'" '.' REGISTERED Y/�N FEE CURREN.
Address;r.-:'; License.#
OTHER;.::-:,t .:,. .:: COMPANY
<., .
Y/.N FEECURRENREGISTERED N
Address,,:. - :. ,,•s; .;.I License'#
PRESIDENTIAL:;:; (Attach(2)Plot:P-,;lansr(2)5ets.of Buil'dingFlans (1)`set of Energy;Forms;R,OVII Peririitfor new,construction;
+e;::r., :,;Minimumrten'1:0,.5workin;;ila/r after subFtiitfal date==Required"onsite;'Coristniction'Plans StormwaterPlans Wt Slit Fence installed;
Sarii4ary Facilities,&,11,dumpster;aSife Work Permit for.subdivisions/I;�rgeproJectsw..= '
`'COMMERCIAL Attach(2)tcom'plete'sets'of'Biiilding'Plans plus aLife Safety Page;(1)set of Energy Forms.R-O-W Permit fornew 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 P®rmit forall`new:projects.All commercial requirements must meet compliance
`SIGN,PERMIT AttacFi(��'sets of Engineered Plans:c..:.°•< . -
..,,r ""PROPERTY SURVEY.required for.ajI,NEW-construction:...
>Fil6:out�application completely.
Owner,&Contractor:sign backof application,notarized
If over:$2500;-a Notice.of:Commencement is required. (A/C upgrades over$7500)
Agent:(for`tFie.contractor)-orzPower of,Attomey(for"the owner)would`lie someone with notarized letter from owner authorizing same
'!OVER::THE 000NT_ER PERMITTING-- ;(copy of contractrequired)
'R6roofs:ifafiingles Sewers Service Upgrades A/C Fences'(Plot/Survey/Footage)
:Driveways-Not over Counter if on public roadways.`needs ROW
NOTICE.OF DEED RESTRICTIONS: The undersi ned,.un erst nds>tha this erm! ma,g, _ d a t� ,p t: ybe;swbjectaa:,;,deed,:restrictions,..
which`ma,.6'e.more restrlct'Ive tharit6unt .re ulatidh1! =-The'=undefisi' ned=assumes res ortslblii°`'=for.com Dance :an
Y. Y. 9 9. . p ty . A Y:
applicable,deed restrictions.
UNLICENSED; CONTRACTORS.i4N6�CQNTRACTOR RESPONSIBILITIES:='if-the=ow er=Sias°tit, xc+ ntractor or
contractors to undertake work;they„may:be.;required..to be°`licensed-!n accordance with:state::and�`local:regulations rftf;tln
contractor is not:licensed,as_requi red'ty. law,'botl the owner and'`eontractor=rriaytie eifed.forsa misdemeanor vioiatfor
under state law. )f the owner or intendeii contactor. are uncertain as.to.what:licensing requiremgntsserkay�:applr.fat the;- '=:'
ii
intended works they:are advised to contact fhe'Pasco.County"Building Inspection Divislon- Licensing Section at 72�7-847 F
8009: ..Furthermore, 'if the owner'has Iced`a'con ractor or contractors, he_is advlsed 'I ]have the.,contractor(*.),,s!gi!,_.
portions of the contractor Block of this application;,.for-which.they.will Aber responsible: lf,.you;c'W tfie owner°sign
contractor, that may be an indication that he is not properly Ilcensed and is not'erititied to permitting privileges_in,Li?asco',.sr..:
County.
TRANSPORTATION-IMPACT/UTILITIES IMP-ACT AND RESOURCE RECOVERY FEES.'The und&i ned understands.,:
g�
that Transportation Impact Fees and Recourse Recovery Fees may:apply to=.the.construction..of new,buWings,:cFrar ge of 1-`;_, fi
use in existing buildings,=ors:expansion>of-,:existind�buildings, as specified in Pasco County Ordinance number=8D'07'and :-,
90-07, as amended... The•undersigned.also.understands,:that-such,:fees, as:mayt�:e:due,'will':4,identified=at".'ttie3:time
permitting. It is-further-understood that"Transportation Impact Fees-and ResourcwRecovery.Fees must be paid':prior;to '
receiving.a "certificate.of occupancy" or final,.power release.: If the.project-does not involve a certificate of occup'an'cjt or <'
final':power rele.ase,,the:fees•must be-.paid prior to permit issuance..-.Furihermore,.if:Pasco County WVater/Sewer,lmpaEt
fees are due,.they.mW,be paid,prior to permit'issuance in:accordarice with!applicable:0a'sco:County ordinances.
CONSTRUGTi94 E IEWL -(Chapter 713 Florlda'Statutes,as amended): If valuation of work is$2,500.00-or-.., -1-
certify, that 1, the applicant,.have been.,:provided with a copy.,,of..ahe "Florida Construction Lien.LavIF-Homeowner's
Protection Guide" prepared''by'the Fiorida Department of Agriculture and Consumer,Affairs. if the applicant is,sorneone.;,,
other than the"owner",,t,certify that-1-have obtained'a copy ofthe.-above;described-docum' Mt d..prom:ise�in:good faift :to. .
deliver it.to ttie"owner"pdbfitacom`rnencement:
CONTRACTOWSIOWNER'S AFFIDAVIT:;;I-;certifji ttiat'all the informationin this application is accurate and-that all work
will be done in compliance with all applicable`laws,regulating construction, zoning_and land-development. Application.is
hereby made to.obtatn,.;a permit;#o`slo:,work-and .instaiiation .as'indicated': l:certify That no woi k or.instatiationx'hri
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--in.-the jurisdiction, i alsa
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 be in:compliance:..Such.agencies include butare notlimitedao"',
- .,Department of Environments 'Rrcitec#ton-Cypress 58y6aids; Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
%
- Southwest Florida Water Management District-Wells;- Cypress.Bayheads, Wetland Areas, Aiter`ing ;
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. y
- Department=.of Health.,:&.Rehabilitative -Services/Environmental .Health UnitlMlls,.Wastewater:Treatment;
Septic°Tanks.
- US Environmental Protection Agency-Asbestos.abatement.
- Federal Aviation:;Authority-Runways..
l understand theit.tlie following restrictions apply to-the use of fill:
Use of fill is not;allowed in Flood Zone"t!"unless expressly permitted. i
If the fill material !s 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-
Iicensed:by.the:State•of Florida.
if the fill 'material.is_to be used in Flood Zone "A" in connection with a permitted building using stem wall.
construction, i.certify:that:fill wlli be used only to fill the area within the stem wall.
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 fill is.found to adversely-affect-adjacent properties, the owner may be cited for violating
the conditionsof,:the:-building;permit.issued under the attached.permit-.application,.for.lots-less-than one 0.)
acre which are elevated by fill,an engineered drainage plan is required.
If i am the AGENT FOR THE,OWNER 1promise in,,good faith to inform the owner of-the permitting.conditions set forth,in
this affidavit prior to.commencing aon6tructl6ri. :1 understand that_a separate permit may be required for electrical.work, . .
plumbing, signs, wells, pools,,:air„conditioning,,,g as,..oroti�er`nstaliafrons not specifically included in the application. ;A.,
permit issuedshall'bo construed-'Vtie a license`to-.proceed with the work-and not as'authority-to violate,.cancel„alter,;or
set aside-any provisions`of the'technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correctionof,errors..in:plarfs construction.or;violations of any codes. Every permit issued*sha11'become invalid
unless the work authorized by such permit Is commenced within six-months of permit issuance, or if work authorized by
the permit Is-suspended-or..abandoned.for aperiodyof six(6),"hionihs after the time the work is commenced.-An extension
may be requested,-in:writing,from.#fie Building`Official for a period not to exceed ninety(90)'days and will'demonstrate
justifiable cause for.the extension..If work,ceases for ninety(90)consecutive days,the job is considered abandoned: +
r,
WARNING TO OWNER..;YOUR.:;EAILURE TO,,RPCORD,A,NOTICE--OF GOMMENCEIUIENT MAY RESULT iN YOUR
PAYING.TWICE'FOR;IMPROVEIVIENTS,aTO YOUR:PROPiRTY.,..II=YOII'sINTEND1Oti[315 N:'FINANCING; CONSULT !' '
WITH YOUR_t'ENDER bR-AN ATTORNEY BEFORE, -REC-ORDING YOUR-NOTICE`OF CO MENCEME'L._,. .
FLORIDA JURAT{F.S.117,03}.;..-
OWNER OR AGENT -- — -- CONTRACTOR
Subscribed and sworn to{or affirmed)before me this Sub cd a and sworn t { affirmed}b fore methis
by �2 �' by
Who Islare personally known to me or has/have.produced Who is are personally k own to me or hasmave produced as identification. as Identification.
Notay Public Notary Public
Commission No. Corn IssIon No.
Name of Notary typed,printed or stamped Name of Notary typed,.printed or stamped
�oruwrr�+ww��
DEBRAELAINE RUFFELL
Commission 4#GG 045343
Qz
=vxr I:spires November 7,2020
', �..r..,vs:�"'sn::4'�:'r::�uTsogFat�insurancs800.385.7019