HomeMy WebLinkAbout18-19784 CITY OF ZEPHYRHILLS /
5335-8th Street
(813)780-0020 19784
ELECTRICAL PERMIT /
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19784 Issued. 6/11/2018 Address: 5253 6TH ST
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 400.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 6/11/2018 Parcel Number: 11-26-21-0010-13200-0060
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JAMES O MORTON ELECTRIC CO.,INC. Name: DORTON, MARLENE
Addr: PO BOX 1537 1055 GEIGER RD. Address: 5253 6TH ST
ZEPHYRHILLS, FL. 33539-1537 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7237 Lic: ER 0002443 Phone:
Work Desc: REPLACE METER CAN DAMAGE BY TREE HUB PART
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS RE , IRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL ((�
V J
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.
U
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 813-780-0021
Building Department
Dates Recell'bd Phone Contac for Permitting- —
vITOwner's Name Owner,Phone Number
Owner's Address Owner Phone Number
i.
Fee Simple•Titleholder Name Owner Phone Number
Fee Simplo;Titleholder Address �'7 ['
JOB ADDRESS V v LOT#
I•
SUBDIVISION PARCEL ID# "
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL B REPAIR_
PROPOSED USE = SFR 0 COMM = OTHER
i.
TYPE OF CONSTRUCTION D,q BLOCK F ME = ST EL
HO VV NI
DESCRIPTION.OF WORK. Ii
U !i
BUILDING';SIZE SQ FOOTAGE= HEIGHT
=6.UILDING $ VALUATION OF TOTAL CONSTRUCTION
=E'LECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
is
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED IFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
P- -
BUILDER ; COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURRE', Y/N
Address License
'
ELECTRICIAN C%���1- COMPANY _ °1j LC •�
'SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
t
Address License#
PLUMBER: COMPANY
SIGNATURE REGISTERED- Y/ N' ' FEE CURRE�
Address> License#
MECHANICAL COM PANY'"
SIGNATURE-- REGISTERED Y./ N FEE CURREN : .Y/N
Address License#
,OTHER;-,;.'7. COMPANY
SIGNATURE,- REGISTERED Y/ N,_. FEE CURREN. Y/N
Address License#-
.
,-,.RESIDENTIAL Attach•.(2);PIot,Plans;,,(2)sets.of Building Plans;;(!:)set of Energy.Forms;R=O=W.Permif foi,new•construction;,.
MinirtiUm ten`=(10)'working days-after sUbmittafdate.- Required onsite,Construction•Plans;Stormwate�Plans w/'Silt Fence installed,
Sanitary Facilities-&1 dumpster;Site Work Permit for subdivisionsAarge 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)working days after submittal date.,Required onsite,Construction Plans,_Stormwater Plans w/,Sllt 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: -
Fill 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:(for"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)
Retdbfs if shingles Sewers Service'Upgrades"A/C "Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
F
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 compliancevith:ary..:_;!-a; '
applicable deed-restrictions: .;ti:.:: :::
i UNL•ICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has:hired a contractor or
contractors to undertake work;.,they may be�requireo`to be licensed.in accordance with-s#ate and>local_regula#ions:' If the u=
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 did 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 6`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 sigmas the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting,;privileges,;in�Pasco
County; `... . - a
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and'Recourse._Rdcovery 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.pcoject 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 5
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,asyamended):.I If valuation of work.is$2;500.00.or more; i
certify that 1, the applicant;have;been provided with a-copy' of,the_"Florida Construction,-Lien Law—Homeowner's .
Protection Guide" prepared by,the. Florida.De.partmenf.of Agriculture and Consumer Affairs.: If the applicant-,is,someone,
other than the"owner", I certifythat 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-,4:certifythat all-the.information in this-application.is accurate=and that all=work
Will be done in compliance with ail 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 lssuance.,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, Wetland 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.
3
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"'K.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-informthe owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separatepermit maybe 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 i l valid
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 IMP OVEMENTS--TO,Y 'UR PROPERTY. iF YOU INTEtJD70 OBTAIN FINANC G;CONSULT .
WITH YOUR LENDER O 'AN ATTORNEY FORE RECORDING-YOUR CE-OF'COMM NC NT. -
- FLORIDA JURAT(F.S.9 f��)
OWNER OR AGENT �° y� CONTRACTOR
Subscribed and swom to(or affirmed)before me this Subscribed and swo to(or affirmed)before me this ^
by by
Who is/are personally known to me or has/have produced Who I.; re personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped