HomeMy WebLinkAbout18-19559 CITY OF ZEPHYRHILLS
_ 5335-8th Street
Y (813)780-0020 19559
ELECTRICAL PERMIT
PERMIT INFORMATION, LOCATION INFORMATION
Permit#:19559 Issued: 4/12/2018 Address: 39336 CHANCEY RD
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: 800.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 4/12/2018 Parcel Number: 24-26-21-0000-00100-0060
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MARTIN & GILL ELECTRIC INC Name: TIBBETTS PROPERTIES LLC
Addr: 8016 SE 24TH WAY Address: 695 31 ST ST
WEBSTER, FL. 33597 ST PETERSBURG, FL. 33712
Phone: (352)254-0286 Lic: Phone:
Work Desc: METER CAN REPLACEMENT
ELECTRICAL FEE 45.00 APPLICATION FEES
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.
CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a13-780-0020 -City of Zephyrhills Permit Application : + :< - Fax-813-780-0021
Building Department,', ',;
Date Received
P.hono Cbntaat for Penmlttittg�
Owner's Name �� �rt� CJ Owner Phone Number ,
Owner's Address'. Ow'ner Phone Number
Fee Simpie Titleholder Name 'Owner Phone Number'
Fee Slmpie Titleholder,Address
cp
JOB ADDRESS t jr=� j'? Q LOT#
L�
�- 60 C066
SUBDIVIS16g. �: PARCEL'IDO,, ��""`� }'"
(OBTAINED,FROM PROPERTY TAX-NOTICE)
WORK Pi OPOSED .:NEW.CONSTR'.. ADDIALT - SIGN- Q Q DEMOLISH
1 E3, INSTALL "REPAIR
PROPOSEMUSE. Q=`' SFR Q COMM 0' OTHER
TYPE'OF GONSTRIlCTION` [= BLOCK 0, FRAME. Q. STEEL Q;
DESCRIRTION`OF WORK C E' C�:G C.eir�-e s"tce' G vt
4•f
BUILDING ZEj_SQ:FOOTAGE.. _ HE[GNT -
0?BUILDING $ VALUATION*OF TOTAL CONSTRUCTION
i�
LECTRIGAL $ Q� AMP SERVICE Q PROGRESS ENERGY
.=1?LUMBING'
=MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATION
=GAS+ C]; ROOFING:- 0_ SPECIALTY. OTHER'
FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =Y.ES NO
Nis
:. j
:BUILDERi, COMPANY i
SIGNATURE REGISTERED Y'/ N FEE CURREN Y'/N,
G
Address -'License:# +
'ELEGTi21CIAN: COMPANY:: .1
SIGNATURE REGISTERED Y/ N • . +FEE'CURREN ,
Ad(reps G;ZI 4/U/r f. �:C �� license# � Q f � .
t:�
y` :PLUNMBERI;i,
:SIGNATURE': _ REGISTERED Y/* FEE CURREK ' Y'/N
Hu
f Address License
li+1ECNANfcAL :; c.. _ ..-: C{lMPAIdY
SIGNATURE REGISTERED D Y/.N FEO:cuRREn... .• YJ N.-:.
F77license.# '-
����,TkIE�C`: .,.s:-
REdaiSTERED
`, >
,.� Address�,�• ,:�:~�:r,�:�.,,c�a: -,;:;: License'#
:.
i „., 'nsiiuctI n
RESID.ENTli1l. Aftac4r' :I?In#:i?�Iens 2<;sets-_o Buildlit PCaiis"I:.setofiEiier Forms R:Q:<i(N:Permii=#or`ia ,:ca
>ten',1.`0 v�o: `' a s afte_i sulirtiitt8l ate:vRe hired'onsite`Consbi tion'Pian`s,`Stotnlwater Pions w/Siltfohce installed;
`S'ani Facilitles°' :fi dum st' :S Worn Permit=for sObdivisforis/!a."ewo
- -R
,... . - ,
r.;COMMERCIAL AttaciY(2'cairtpf a sei ofi3fiiiitirig°Plans plus"a Clfe'Safetyi'Page;`(9}.set s.R-O-W Permit for new-construction. —
s, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.Instailed,,.
^ ='` Sanitary:Facilities :1 dumps#erg,Site Work Permitfititailim' profects.Ail-commercial requirements.must meet compilance
k-fSiPitPtcRIIT Aftae�i( }"sets0ngi%eiredPians�?.;:r :.
""PROPERTY requlre_dfor,..�II,NEW consftuctiom...
>:_,•:,Fill,.flut applicatien.compieteiy.
-.- -`Owner&Gontractousign,back of appllcation,notarized
',If over.:$2500i,a Nbtice:.of;Commoncoment is required. (AIC upgrades over$7500)
Ag$nf:(#or the contractCtr}:or Power•.'of Attomey`(for'ttie oi�rner}'wobld'be someone with notarized letter from owner authorizing same
ad)
OVER`:THE COUNTER P R AI7TINC� A .�{coP.y.OfAcontrmct:requir
�iRergofs`ifstiiagles }~ S®viers. "Service Upgrades /VC Fences(Plot/Survey/Footage)
=Driveways-Not aver Counterif on public'�road"ways�rieeds'ROW .
NOT ICE.OF.DEED:RESTRiCTIONS:. The:undersigned..understands:>that.thls�Rermlt-.may;be,subjectto`Sdeed:.testnctions.� _
p5;r ..3.,,.y:.r,>i., '.s •.f' I:. -- ,,..;.r,.:, .j..,'j,' ;1;+t". .r`Y. •tl�.
. _' . ested um. s s on l bwhich : ationvi-The=andri .. «fon
applicable,de.,e—restrictions. i,any
z ,r:*s r r. ;C rr•,u
UNLiCENS_Ea:: CONTRAC' ORS:AND' CONTEZA+CTOR RESP:ONSIBiLITIES If 4 ow,it, has:- hire l°a cc#.ntractor or
contractors to.undertake work;they,.ma. •be::;regwred::°to be`licensed in'accordance:with.stateand=9ocai-=,r�e'ufatiois aif;a#Fe;j>w•r x
:.:.:.,, .. . .,.. _,::_; ,�.::,,,,•may .t .-,al. -- +_ ,,.„�g.,
contractor:is not'Iicensed•�as!,,required.by lai -•boh the owner>-ai d``-_ibAfi ctor-��rnayubeYc�fetl f+r�r,a'`m)sdel manor-Vioialf-6
under.state law.'if the owner or;ihtende&contlactor..are;uncertain as,.to.what,licensing.-re u reme itsf=inay a ply or tthe a='" '
intended woGk;:they:are advised to dd tacf#he E?asco_Courity:Building I pect onrDividlibb icensing:Sectian at_727 7
8009. i Furthermore; if the owner"has-°hlydd"a contractor'or contractors, he is advised to,ihave the:contractorgn, .µ;{
portions of the contractor:Black.of.this application.for•whichrthey.will-:be:responsible.,dfyou,',as�the owner sign asthe` v
contractor.,Ahat-may tie an indication-th8t'he•'is not properly'!lcensed and!s not eritiffed-to permitting privileges,tln..1?asco•
County:
TR#N$PORTATION'tN7PACT/.UTitiTiES-<iMPACT_ANrJ_RES®URGE RFCtriVERY=1rEES -TFie uriiiersl r►ed-uriderstanrls.;, ,:
that Trarrsportatibn impact Fees and Recourse Recovery Fees,�may,apply 1o{the..constructton of-newb ildfrigs;'dham`ge}�oV
use-in.-existing"bUiltlings,;or�expat�sior'=o#exist'ing'buildings, as specified in Pasco County Ordinance number 89-07 an
( 90-07, as amended:. The°undersigned also understands;:that.stich:,fees;`as? syabe:due; will tie;.idented afith's#�me.of. �f
' permitting. if is further'urrderstood that Transportation Impact FeesL'and�Resource:eRecovery:F'e must be paild',pi:tor;to :a
receiving..a."certificate of-occupancy°or final:power.release. !f the project.dbes;,not invt?ive a certificate of otpartcy;ai>>yL
final_power release{;:.the;-fees,_must be,paid:.prior to permif issuance,.,„Furthermore,,if,.Pasco;County Water/Sewerlmpaat,, y``
fees are.due;.theymusfbe.:paid.prior to permit issuance..in accordance with-:applicableasco'Courity ordinances.
CONSTRUCTitON LiEN�L-.— V'(Chaptbr 71'3,Florida Statutes,as amended): if valuation of work is$2,.50;O QhQ:aT.more;aiy :;:
certify,that 1,. the-applicant,.-have been:_provided with a:copy::af.::the"Florida Coiis#rit'ctian: lien :LaHomeowner's'
Protection Guide" prepared.by"the`Florlda Department of Agriculture'and:Consu ._g.gAffialrs. If the appiicantis someone f
other than the"owner",I.certify.that.i::have obtaine a copy of the above�describaf.,da,ument and.1promise-in:gootl,fa�th
4 ..: ".a ,
deliver.l,10#66.1"Doer;{�h ii, o:commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT:::;i.cettify;that-'all the inforrnation'!n this application Is accurate and1liat ait work
will be done in compliance with all applicableiaws reguiating construction, zoning-:iihd{and-development. Application.is
hereby°made to.obtain;a:..:permit.:.to;do;:;work installation.as',ind cated: 'I'certify that no work or:Installation',has
commenced prior`#o-issuance of'a permit and-thait all work will be performed to-:meet-,standards-of all taws regulating,.
construction, County and.City codes, zoning regulations, and land development regulations-1m the jurisdiction:'1t6I8io
certify that I understand that the regulations of other government agencies may apply-to the1ritende'd work, and that it is
my responsibility to identify what actions i must.take,to:be in.compliance..Such-agencies lncltide:but ai re not limited ta: ;.. z
Department of Environrh rital`°Rrotecttian=Cypress-l3ayi6'ads; Wetland'Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District Wells; Cypress -.Bayheads, Wetland Areas, Altering
Watercourses.
Army Carps of Englheers�Seawalls, Docks,Navigable Waterways.
Department,,of Health-4-Rehabilitative,,Services/Environmental•.�.Healthi,Unit Wells,:Wastewater:Treatment,•
..Septic�T�anks. . . - -
US Environmental Protection Agency-Asbestos.abatement.
Federal Aviation::Authority Runways.
I understand thaiVthe following:restric#ions apply to the use of.fill:
Use of fill is not'allowed in Flood Zone"\r unless expressly permitted.
if_the fiii.:materiaF-,is.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 engineerl .`'
i licensed.by.the State-of Florida. .
If the Hill material:Is.to be used in Flood Zone "A" in connection with a permitted building using stem wall;-
construction; i certlfy,that fill'will�be used only to fill the area-within the,stem wall.
If fill material ls--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=atljacent`properties, the owner may be cited for violating. <<
theeorfdltions._ he'buiiding;permit::issued_uridb tht 'attached permit application,.for.iots iess:than one (1)
acre whlch�are'elevated by,fill,an engineered drainage plan is required. Ev
If I am.theMENT-FOR;THE.OWNER 1`,prornlse.in_good faith to Inform theownerof-the-permitting,conditions set forth in
this affidavit:prior-to.commencing'construction,'. :t-understand that:a.sepafrate permit maybe required for electrical.work;
plumbing, signs, wells„pools,-air,Mnditioning;,.gas r::or"ofli&insta t ions not specifically included in the appiicatiorf. A.1;
permit issuedshalF:fJe construed#o be a iicense'to.proceed:vuith`trie.work:and not as•authority-to violate,.cancei,:atter, or ='
set aside any provislons'of`the•-feclinical codes, nor shall Issuance of a permit prevent the Building Official from thereafter
requiring a correction:of.:errors in plans`ci nstitiction•.or,violations-of'any;codes:-Every''pe'rmit issued--shall'°become invalid unless #i
the per it!s suspended oaabandoned far-:atS od.of six 6�ntonths after het of permit
work cormrdenced.-authorized exe by_
y P
P, (.) � _ .... . .. r n.extension , = r a
may be requestetl,'in:writingfom:tfie Building'Official for a period.not to exceed'ninety(90}days artd`wiii demonstrate ; }
justifiable.cause•for-the extension..If.work:ceases for ninety(90)consecutive,days,the,job..is,considered abandoned: {
ti. 01
WARNING'"TO'OWNER:_ YOUR'FAiLURE,T,0-RECORD_,A NOTICE:.QI :.C-.OiIIIMENCEMENT MAY RESULT IN'YOUR
RAYING;TWICE;'FORxiMI?I!I�OVEMENTS TO YOUR PROPERTY-IF YOfth1N1FEMD'TO OB'�AIN FtNANCiNG 'C'ONSULT ' i'"'
WIT14 Id `LENOti OR'AN`AT?t)RNEY BEFORE•-R�CORDING:Yt3UR"NOTlCe labF1601%iUiC-K9CEi{RE�iT
FLORMA.JURAT, F,.S.:11Z.Q3)::,
±,}
0,WNER OR AGENT: CONTRACT,
Subscribed and swom to'(or affirmed)before me this' Subs m o to—(o ffl ed before-me this•
by _ by . �'i')fJ
Who.ls/are personally known to me or has/have produced Who are allyy:known:toe:m��e�`or:has/Flave produced. '
as ldentlt)cation:° y It 9 11,C, '�i - as ident)floatlon.
Notary' Public i " ` i" Notary Public
3ommisslon No. C mission No. r J -
��'�°i
Jame of Notary typed,printed or stamped Name of Notary
"YP DEBRAELAINERUFFELL
�..
Commission#GG 045343
tr =Expires November 7,2020
'ended Thor Troy Fain Insurance 8ON85-7018