HomeMy WebLinkAbout18-20302 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20302
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20302 Issued: 10/01/2018 Address: 39439 9TH AVE
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: 113.00 Total Fees: 45.00 Subdivision: SUNSET ESTATES
Amount Paid: 45.00 Date Paid: 10/01/2018 Parcel Number: 12-26-21-0300-00000-0170
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS' A/C COMPANY Name: ROSSELLO ANGELO & RUTH LIVING
Addr: 12232 HWY 301 Address: 6612 PERPETUAL LN
DADE CITY, FL. 333525 ZEPHYRHILLS FL 33545-5242
Phone: (352)521-4977 Lic: Phone: 352-521-4977
Work Desc: SAFETY INSPECTION
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTION"EQUIRED h
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER /
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will co daftly 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.
CON RACTOR PER OFFI
PqkMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
0111-fou-IJUzu City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Dato Recelve)d
Phone Contact for Permitting F,ss
........7...... .66"41" ...... .......... ......
Owner's Name Aap
Owner Phone Number
Owner's Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F3 q ....... LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME 0 STEEL
DESCRIPTION OF WORK
`BUILDINGI,SIZE SQ FOOTAGE L HEIGHT C�
L
=BUILDING $
VALUATION OF TOTAL CONSTRUCTION'
=ELECTRICAL AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C.
=PLUMBING $
:1
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER, COMPANY
SIGNATURE REGISTERED 1. Y/ N FEE CURREN
Address License# F_7
ELECTRICIAN COMPANY
"SIGNATURE J REGISTERED 14Y)/ N FEE CURREN-
Addres's
SO/ License#,l C_1L_,/11&70 7EQ-3i
PLUMBER,' COMPANY
SIGNATURE REGISTERED I Y/ N FEE'CUAREN
Address License# F
MECHANICAL COMPANY
SIGNATURE REGISTERED L_y W_J FEE CURREN
Address.- License#
..OTHER;-. : COMPANY
SIGNATURE- REGISTERED Y/ N L_YIN_j
.Address License# F__
...........
Ma6h.(2�'Ptoit PI ns;(2)Sets,of Building Plaris;,(1.).set of Energy.Forms;R'O�.W Permit 11brne*-
I . -0 - construction,
MlhImumtdfi-(10)wdrkin§days after sub miltta[datd., Required drisite,Consitructiob Plans;-Stormwafter'Plans.,W/Sliffence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisio'ns/large 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,$tormwater Plans w/Silt F" c6 installed,
Fence
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2),iets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
.......... ........
-------- --- ---------Direct ioinssr:!
Fill out application completely.
OWnet&Cbritractor-signiz.b ack of application,notarized
If over$2500,a Notice of Commencement Is required. (AfC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER1HE.COUNTER PERMITTING (copy of contract required)
RerdblS if-shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/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- ,
applicable deed-restrictions:
UNLICENSED. CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner hashired- -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 citedfor 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.8uliding 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 maybe 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 LAVA(Chapter.713, Florida Statutes, as-amended): -if valuation of work is$2,600:00 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 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 d 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, 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.
- 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 W"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_byfill,an'engineered drainage.plan is required.
If I am the AGENT FOR THE OWNER, 1 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:17
WARNING,TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOWIMPROVEMENTS TO YOUR PROPERTY. IF YOU 1NTEN TO OBTAi FINANCING;CONSULT
WiTH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING'YOUR/iOTItE OF COMJdENCEMENT
FLORIDA JURAT(F.S.117.03) }
OWNERORAGENT—_- —_ _ _ — CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sw affirmed) store me this
by
Who Is/are personally known to me or has/have produced Who is/are pe pally kno to me or has/have produced
as Identification, as identification.
�4"Notary Public -Notary Public
Commission No. Commiss on o.
Name of Notary typed,printed or stamped Name of No d4 Sri S
t ion FF 150422
A,sy -a Expires December 12 2018
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Y Fain Insurance 800,9gg.7018
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