HomeMy WebLinkAbout18-19696 CITY OF ZEPHYRHILLS
5335-8th Street /
(813)780-0020 19696/
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION ,
Permit#:19696 Issued: 5/17/2018 Address: 5219 3RD ST
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: 300.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 5/17/2018 Parcel Number: 11-26-21-0010-12900-0014
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JAMES O MORTON ELECTRIC CO.,INC. Name: HENSLEY, TERRI
Addr: PO BOX 1537 1055 GEIGER RD. Address: 5219 3RD ST
ZEPHYRHILLS, FL. 33539-1537 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Work Desc: REPLACE METER CAN
APPLICATION FEES
ELECTRICAL FEE 45.00
'C, o
INSPOU MN RNWIRED
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.
CONTRACTOR 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-818-780-0021
Building Department
Date Received Phone Cbntact`for Permltting —
Owner's Name 17 f/ Owner Phone Number ,
Owner's Address m 67 J Owner Phone Number '
Fee Simples Titleholder Name' Owner•Phone Number �—
Fee Simple;Tltlsholder Address
JOB ADDRESS �i'
LOT#
SUBDIVIS16N PARCEL•ID#
(OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW e CONSTR . ADDIALT C� SIGN [� DEMOLISH INSTALL 8 `REPAIR
PROPOSED.USE- Q SFR Q COMM OTHER
TYPE W CONSTRUCTION �LOCK/ 0 'F ME. STEEL Q.
DESCRIPTIONOF WORK G !
BUILpIitIG;SIZE SQ F00' TAGS : HEIGHT
r
QB.UILDING. �' VALUATION-OF TOTAL CONSTRUCTI
ELECTRICAL $ AMP SERVICE PRO' RE W.R.E.C.
• L
PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=.,GAS 0 ROOFING Q SPECIALTY. OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO
:BUILDER COMP AN v
SIGNATURE REGISTERED Y-/ N. FEE CURREN
Address Licens .
:`.ELECTRIPAN, r COMPANY•
SIGNATURE REGISTERED / N FEE`CURREN Y/N-
Address' License:# F
k
PLUMBEit.x. ? COMPANY> .`
SIGNATURE ' REGISTERED L Y.-/ N: J.. :FEE CURREN
Address License#,r �
MEC'ANIGAL"" COMPANY
REGISTERED Y/ N . FEE cURREI` •' Y/N
Address:,:..;, L'icense.# �_.
:OTHEW;,',::_a;:. :.;. CBMFANY
GNATURE:- >< REGISTERED Y/.N FEE CURREK Y/N
Address. ���,,;. _�::�:r:.<..;:- - Licari§e'# ;
1
`'RESIDEAi F1Ak;: Attach:,{2};Plat t?ians, 2,1 eWd'i',Buiidlri ;Plans; 1 set of'Ener'` FdmiS*R=O-iN:Pditlt for new,consi eflon
{ ) 9 t ) 9Y ,,
,. : >Minimum.tens,(,1.0).VyoikingrdaySafter sufiiiiittal.ilate:4Re wired onsita'Ciinstriiction'Plans;:Stoma`waterPlans w/Silt Fence installed
" Sartita ,=Facilities,;&+1 tium stor,:Site:Work,Permit:for.,,subdivtstonsllar
C.t>NiMERGiAL Attach t2)compiete'Sets of`BiiildingPlanspius a'Cife"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,Stormwater Plans w/Silt Fence.Installed, .
1:: .. Sanitary Facilities&1 dumps#er.Site VUotk Permit.foF ail-new•projects,All commercial requirements.must meet.compiiance
N!:PERMIT -Attach"(2)"sets of.;i ngineered
****PROPERTY SURVEY Nqulred for,.aII,NEW,constructicn- .Flll;:out;application completely,
ip.merB-.Contractor sign.back.of application,notarized
if•over'$2500;afttice:of:Commoncement is required. (A/C upgrades over$7500)
Agent(for'thie':coritractoi:},or Power'of"Attomey(for`the oWher)would tie Someone with notarized letter from owner-authorizing same
AVER 1 HE COUNTER?I?ERNITTINQ (copy,"of:contract.required) `
Reioofs„if shingles 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�understands:that>this;permi#;may:be:subject<to:"deed":
which may,be:more.restrictive:-than�Caunty reguiatioris:`TiaaWndersignetl'assuines'responsiiiitity'for tcomplia nce
applicable=.deed restrictions.
UNLICENSED:-CONTRACTORS.'ANb`'CONTRACTOR RESPONSIBILITIES:= !f the=oirviier ias: hired'a contractor or
contractors to undertake work, th'ey,rnaybe;requiredao-bwlicensed in accordance with.state:and!Iocal�iregulationsE!°"If t#,i'e ""-
r ,
contractor.1s:not.licensed,as::.required`"by.taw,'both.'the owner-.and.'contractorgray=�bie==sited!fore"az�misdbmbonor-violation•. . .
under state law. If the owner oi,intended,kcontractor.are uncertain.as,to what.licensing,_re,,quirements;,rnayfapplyforathe`"
intended work;.they:are advised to contacttlie Pasco County'Buildingtnspett#on�Diyision licensing S:ectron at 727.847
8009. • Furthermore; 'if the owner has°tilred a coritracfar or contractors, tie`is advisedrto: have the,,cntractor:(s) sign
portions of the "contractor Block"of this appl#cation:for which-they.will.be responsible.-.1f,you, as o er s#gn,.the wn as:the
contractor, that may be-an indication"that he is.not properly licensed and is not entitled`to permitting privileges.irrPaseo ,_,t }
County. _: ;•
TR-ANSPORTATION-IMPACT/.UTILITIES IMPACT AND RESOURCE RECOVERY FEES:-The underdigned understands
that Transportation impact Fees and Recourse Recovery Fees'may.apply to the.co nstruction:.of,new:,buildings,.�changeyof
use iln existing'buildings;•-or:expansion o#'existing buildings, as specified In Pasco County Ordinance numbef:89=07 and
90-07, as amended. The,undersigned also understands, that.such.;fees, as;:may-,,be�,due; wilt;#ae.identifiedi of#- �fi r e,:o '' 1:
permitting. It is-further understood that Transportation impact Feess;.acid Resource,Recover ' Fees-must be paid prior-to
receiving a."certificate:of:occupancy." or final.power,release. If the:project does not-involve::a-certificate of occupan"p.g.,
final:Power release,:the:fees.must be.-paid prior to permit issuance.,.,-Furthermore,..If-Pasco.County WatertSewer;=,impact::
fees are'due,,they must;be.paid.prior to permit issuance in:accordance witht applicable..Pasco County ordinances.
CONSTRUCTION LIEN AW(Chapter713,Florlda-Statutes,as amended): If valuation of work is'
$2,500.0:,0.or more;xl�:r,;:
certify that 1, the-applicant, have been.-'provided 'with--a copy::oU.-the °Florida Construction `'Lien -Lau Homeowneri
Protection Guide" prepared-by the•Florida Department of Agriculture and Consumer:Affairs. If the applicant issomeone . ,
other than the"owner",,i certify that:I.have•obtained'a copy of the above'-described`documentand:.pcomisein:good:;faith!io
deliver-it'.to`the:°owner',prior'ta:.comm encement:
CONTRACTOR'S/OWNER'S AFFIDAV1T:. :1:certify-th6t-'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;,_*ork and-.installation as'indicated. l certify that no :work or .Insialiiitlon�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. '`1 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 4o:
Department of Environi"e. itaF"Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bay- heads, Wetland Areas, Altering
Watercourses. f
Army Corps of Engineers-Seawalls, Docks- Navigable Waterways.
Department=.of. Health..• .Rehabilitative ServiceslEnvironmental•:Health-_Unit Wells,.Wastewater,Treatment,:
Septic=Tanks:''
i
US Environmental Protection Agency,Asbestos.abatement.
Federal AViation•;Authority=Runways.
I understand thatalie foliowing,restrictions apply to the use of fill
Use of fill is,not'allowed in Flood Zone W"unless expressly permitted.
If the fill-matie ial`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 iiythe: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;thatfill will be used only to fill the area within the stem wall.
- if fill-material"is'to '.be used in any area, 1 certify that use of such,fill will not adversely affect adjacent,
properties. If.use of fill is found:to_adyersely affect-adjacent properties, the owner may be cited for violating;
the Conditions:of�:ihe`bulldirig.:permitissued under the attached permit.,application, for-Jots-lest than one (1);
acre which-sire elevated•by fill,an engineered drainage plan is required.
If I am.the AGENT FOR THE OWN.ER',l.promise in good faith to inform the owner of-the permitting•conditions set forth in j
this affidavit prior to commencing construction:'.I understand that ta.separate permit may be required for electrical,work,i.
plumbing, signs, wells,_pools,.air_;conditioning,..gas-. or�othe ';iristaltations not specifically included in the application. A... r
permit issued shall'be'construed,_to"be a licenseto proceed'with'the work•.and notilas-authority.to'violate,.cancel,:alter, or '
set aside any provis9onsof'the"'technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of,errors ln:oldr' `construction-or violations of,anycodes. =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-! i
the permit is-suspended,or abandoned fora period:..of six(6)months after the time the work is commenced.._An extension;
may be requested, in writing, from the Building Offic#al for a period.not to exceed ninety(90) days and Will demonstrate
justifiable cause for-the extension.,Jf"work-ceases for ninety(90)consecutive days,the job is considered abandoned:
WARNING'TO OWNER?,;:YOu_R:FAILURETO,RECORD A NOTICE:OF COMMENCEMENT-MAY,RESULT IN YOUR ,
PAYING.TWiCE'FOR'IIVIEg _VEMENt$TO';YO.U•R:+PR. PEl3TY.,.IF,YOU iNTE D=TO.OBTAIN;`FIN '_ " 1MG;;CONSULT
WITH YC>t!R'CENDER O" ' ATTORNEY �'R CORDINGYOUR N 10E"OF`COMM NCE` NT:�.---_- ---- —' --
FLORIDA JURAT(F.S.1'17.. -
OWNER OR AGENT CONTRACTOR
Subscribed and'swom to(a affirmed)before me this Subscribed and swo to(or affirmed)before me this
by by
Who lstare personally kngWn to me or has/bbve produced Who is/are personally known to me or hasthave produced
as identification. as identiflcafion. -
Notary' Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,.printed or stamped