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18-19655
CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 9655 ELECTRICAL PERMIT PERMIT INFORMATION - - LOCATION INFORMATION Permit#:19655 Issued: 5/07/2018 Address: 6363 TIMBERLY LN AREA B #139 Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE/NEW Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 400.00 Total Fees: 45.00 Subdivision: EILAND PARK TOWNHOMES Amount Paid: 45.00 Date Paid: 5/07/2018 Parcel Number: 03-26-21-0250-00000-1390 CONTRACTOR INFORMATION OWNER INFORMATION Name: ADVANCE ELECTRIC Name: PRESSLEY STEVEN R &ANNETTE Addr: PO BOX 121142 Address: 6363 TIMBERLY LN CLERMONT FL 3471 2-1 1 42 ZEPHYRHILLS FL 33542-3299 Phone: (352)394-2874 Lic: Phone: 813-862-7844 Work Desc: INSTALL 2 GFI CIRCUITS FOR WALK IN TUB APPLICATION FEES ELECTRICAL FEE 45.00 INSPECTIONS EQUI D ROUGH ELECTRIC CONSTRUCTION POLE /� r PRE-METER I \U 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. ;�7 ONTRACTOR 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-813-780-0021 Building Department Date Received phone Contact for Permittin r Owner s Name Sk L V e F n 1 t Owner Phone Number 13 Owner's Address b�� �� d'l L r\ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS e ` -Yv LOT# j SUBDIVISION L C PARCEL ID# _nJ DaSO =Opp 0 I Jg0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR ADDIALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL DESCRIPTION OF WORK LYVS�o a —� C�rW�S �O T\Cw BUILDING SIZE kbo SQ FOOTAGE HEIGHT 1 1 1 1 1 r 1 1 1 1 1 rl IT7 1'r*'7T A =BUILDING $ VALUATION OF TOTAL CONSTRUCTION CTRICAL $ Q Q AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. /=PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# LA ELECTRICIAN COMPANY J/ 'L Q u (� SIGNATURE a ( n REGISTERED all N FEE CURREN Y/N q� Address �- \mow �. 1. -CrW\0,A License# EC— O c�dO L"' PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LZIN Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W 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 subdivisionsllarge projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)warring days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. Directions: FlII out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) •• Agent(far the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroefs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE 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 9pplicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 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 contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the Contractor(s) sign portions of the"contractor Block"of this application for which they Will be responsible. If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in 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 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 all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also 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 but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Weiland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material 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 engineer licensed 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 will 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 conditions of the building permit issued under the attached permit application,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be 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 correction of errors in plans,construction or violations of any 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 the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested,in writing,from the 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. 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. FLORIDAJURAT( .117.03 � OWNERORAGENT CONTRACTOR �8 Subscribed and sworn r before a this Subscribed and sw ffbefore me is byrn o 1, �t Who is/are ally knd me or hasihave produced Who is/are natty kn or ha ave produced as identification. as identificafion. i b Notary Public I � Notary Public Commission No.I�C7�R 0 Commissip No. da mary tyw�rt er&ayped Name of Notary typ ,printed or stamped Y Erin Lop UU 130498 �JP °k�� Notary Publ:•: •::.; of Florida My Commission GG Erin Lope, !' y Ova, Expires 0810112021 y s My Cor::: :,;,on GG 130498 Exre,e;US/01/2021 ' OF C. P.O. BOX 121142 CLERMONT,FL.34712-1142 PHONE#352-394-2874 FAX#352-242-9679 LICENSE#EC-0002680 DATE: 05-01-2018 TO: City of Zephyrhills To whom it may concern: Advance Electric/Joseph BonJorn authorize Jason Sheppard limited power of attorney for all permitting purposes. CE ELECT AllTRIZATION S NATURE If you would like the above proposed work completed,please sign and mail, email or fax this copy to Advance Electric. I -I4 © Custgmer Name. vPm sis e,[ Date: d-A&Q—/J:" Type of Property: HOUSE CONDO .MOBILE HOME SINGLE DOUBLE New Walk=ln Bath Location: ist Floor . 2nd Floor 3rd Floor Other,,;_ - - Subfioor: CQNCRETESLAB CRAWL,SPACE BASEMENT EXISUnQ`i Ub IN10asurements Longth:6 Q_inches "Alldth: inches Distance b/w tub and vanity/toilet inches. CxlsUng safety bars: YES Pf0 Cuirent.tub/shower FIBERGLASS CAST IRON OTHER _ Existing tub wafts: TILE IBERGLASS OTHER: Window over the bathtub"(if applicable)Height from the floor to bottom of window sill: =inches Door MeaSe FOMentS: 'Width of front or back door ofbouse:_ Which wall of your existing bathtub or shower has Width of interior door(s): s f' the faucet fixture? e:n h-�- Wall Width of interior hall. Back Will Stair width: Left Right Vvidth,ofloathroor»dnor: 3oU Wall O Wall New Walk-4 Tub. _30 X51 Liberation Color: Wht Lin Custom Model:. 3�X 4�,2 OL Value/Deluxe/i Piece Size- -Door/Drain: RH LH Custom Size: Drain Side LH/RN Glass Door: YES./NO Pony Wall: YES NO Back-Wall Shei YES NO R&R/EnlargeDoor(s): YES NO .Surround/Backsplash::YES, NO e: 'FIAT/TILE/MARBLE SafetyBars: ES' NO 4t:� R&R'Toilet.YES/nlO Promo R&R Vanity: YES NO Subpanel: YES/ o Bidet: S O Shower Slide Ba Y NO. Reverse Plumbing11 . . S NO Addl Extension Kit: YES 9_stii[oortant.lnforrriatiorr Brand of Breaker• _R"fin Number of open breakers in panel:' Water Heater: Size GAS/ELEC NOTES: ,Q^ ", d- 902 West-Cantor Parkway,Orand.Prairle,Texas 75050 SPECIFICATION w x t a Phone.855-225-2183 1 Fax:267-295.6098 SPEC(F 1 CAT1 Q N f - � N I>roduet of Safety Tubs Company,LLC www1lberatlonBath corn N l'n7ducl of norlds solely Tubs Lbmparry,LLC SHEET 41 itn4ta(s� 't Dald4f eprtiaa! I rs r4(a&act rvte� c"duns wn zP cads , La GAMUT T;arte>rak+p>otm raan4a, - o,ma(at egg Aesonstnrnmwt{U� ,t:iifbl noantet '$uyrr(x)lislcd.alwve Iterviky jointly and stwcrally:agre"to purchaser,the goods and/ur•nctviccs listed helot;in accordance t6ith thr prices and icons drerrilird on ttris Sl)ccilieati an Siicrt and the rnnnt and t3ir.reverse.or the accompanyiing CUS'ulm R2sM��}FI.t1�iG AGRjrI;��� of which this Spccification Sheet ill a part.. Walk--in Rath/Shower �/ X30a.x-51'Liberatlon Walk-Ire Tub DraiNDoor Side: Might p Left Speclat Order Tub� ,� ( �� - -._Shower-Vatue,/Deluxe!1-place Cooler: '�<Whlte Q Linen Standard Features: .e/ ',. 16 Water Matisage Jets �r28 Air Spa Massage,nets Neck Pillow )ACChromatherePY „'`Patented Door'Syaterrt -Line Whirlpool Heater �pramlum Faucet w/handheld Shower Wend tvCrub EMender CI Value Series.(Gelcoat, >Koulck Dralno Fast Water Removal System �Elactronic'Gontrols ✓hC_pi'orrtatnarapy 8 Water Jets:21 Air,lets, J'� Heater,Quick brain(t) +RevitaJatTBR Hydrotherapy System O Other: Additions Back Shelf for Wider Existing Tub _•Now/Upgraded Electrical Servtoe w/Metar ><--orse Pitimbing - Cut Wall&Repair(Davit ready) _,Build Porgy Wall —Second Floor install _Etectrlcar Panel Upgrade 100A to 200A —Relocate Existing Electric niov omA —Additional Extension Kit es Enlarging Bathroom Door Gnat.Daar,Fraa,4,a New wade) _Remove&Reinstall Door&Frame _Flat Acrylic Surround fret.o.E-0 Minor Tile Repair(eustoarar to fire r tsai Remove&Rapt—Vanity w/New or Same(curt.pravktoM ,-_T"le Panern'Surround p.al M eaardi New Sufi Panel Remove&instati Now Toilet(ca sat/cast.auavidedi _tvlarb(e Pattern Surround(stet.G.eoard) JIsafaty Bar 84' Remove 8i Replace Existing Toilet _Acrylic Hack splash Shower Rod&Curtain ,OtHandheld Shower Glide Bar —Shower Gter a Door i f Other Work to Be Performed or Excluded: 1 ' '� n rc...me. bGL.4h i"on" Buyer understands'lWshchhmy Warc responsible for,in addition to the priers delineated herein:(1)WaIt papermg;.(2)Hidden drywaa damage repair mcL-P (3)Interior painting/sta(n(ng;;(4)Sub-floor wood/deeking repair,(5)Termite damage repair;(6)Hidden plumbing damage r% J,1siegged drain:(7)Lad paint and s.1.the event That tile repair is needed,customer is responsible for providing tile.Buyer understands that while the contractor's representative may,in Bawd faith,advisas to the sufficicnry M Buyers existing waterheater If requested by Buyerthe contractor makes'no representaiion or guarantee as to the su01ciency of came and Buld not rely'on any oral rrpresenlalions.A$500 water It a allowance toward the purchase ofthe tub has been glyen'to Buyer in the event the existing voter heaterity is ian-uffatu t.Customer Initials ; It is agreed and understood ,by and between the parties that this Specification Sbeet; along with the CUSTOM REMODELING AGREEMENT, constitutes: the entire understanding between the parties,- and there are no verbal' understandings changing or,naodii£yiag any of the terms. This Specification Sheet easy.sot be changed or its terms modified or varied in any way unless such changes are in writing and signed'by both the Buyers) and Contractor. 8nyer(s) hereby acknowledge that Buyers)has read this Specification Sheet. Safety Tubs fCompany,LLC/Florida Safety Tubs rCompany,LLC t By= 1 Print Mama of Sales RnPresentativ® Sigrtawre of Sates,Representative .Data BUS s) igas: -/� Print Name -Signature Date Print Name Signature- onto Al.2464);AR(134454W716;A%298339:CA CiiLD'11982796;CO 2015947043,1.i C0610719.09.244726;CH(TGC069222;C1N CBRCOOSSSO;CLV CR14002039;COL HICO 1764--INI3 (;IA406125:Pill e42925;TOP ItiC.GO 20I So5211433;CT HIC.060365;FL CGCI521836:rA C:1243a5;iD RCR•39433;IC 2015-8031;LA 556881;MA 178962.MD 133010;Mt 210-1207940; MN-IICA93327;MS A 17858:M'1'220207;ND 53915:NR ilea.445758;NJ HIC 13V H07702200;NYC HICo2022748-11CA;OR 206553:PA PA103639;,RI 38169;SC GI 191o3t SufkWkK 51 r iruni NY 531110'N 7899;Utah 9182566-5501:VA 2705156343;WA SAF13Mt1C867LP;WE 1333129;W VA W Vt154341;Other: v2t7 PDF processed with CutePDF evaluation edition www.CutePDF.com r _ Customer Name: Date: w Drawing of Existing Bathroom (Show tub,vanity,toile ,window'and sha lop G ' I ? o Notes-