HomeMy WebLinkAbout18-20371 CITY OF ZEPHYRHILLS
5335-8th Street
y (813)780-0020 20371
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit#:20371 - Issued: 10/19/2018 Address: 3911 CORREIA DR
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: 3,000.00 Total Fees: 55.00 Subdivision: PARK PLACE CENTER
Amount Paid: 55.00 Date Paid: 10/19/2018 Parcel Number: 19-26-22-0010-00000-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: CHANCY PARTNERS LLC
Addr: 7141 BERRY RD. Address: 34851 SR 54
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS FL 33542
Phone: Lic: Phone:
Work Desc: ELECTRICAL FOR LIFT STATION
APPLICATION FEES
ELECTRICAL FEE 55.00 4
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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.
Flow
1�1111d
C64fkACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - S HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ADDRESSING DEPARTMENT
GIS /ADDRESSING
PASCO COUNTY GOVT. CENTER
8731 CITIZENS DRIVE, SUITE 310
' J F NEW PORT RICHEY, FL 34654
/ , r Phone: (727)815-7154
http://pascocountvfl.net/
October 18, 2018
Welcome from the Pasco County Addressing Staff,
Please be advised that the following 911 approved address has been assigned:
Parcel: 19 26 22 0010 00000 0070
Address Number/Roadway Name: 3911 Correia Drive
Zephyrhills, FL 33542
"PLEASE NOTE: IF THIS ADDRESS IS FOR A CORNER LOT, OR IF THE SITE
PLAN CHANGES AT A LATER DATE, THE ADDRESS IS SUBJECT TO CHANGE. IT
IS YOUR RESPONSIBILITY TO PROVIDE ADDITIONAL COPIES OF THIS RECEIPT
WHEN NECESSARY.
If you have any questions regarding your address, please feel free to contact me at:
(727) 815-7154.
Sincerely,
Pam ?t/d6a
Pam Walton
Addressing/GIS Analyst
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
.Date Reteived Phone Contact for Permitting"
Owner's Name 7 a r'�LPic_i' LL Owner Phone Number • "
Owner's Address Owner Phone�Number F —
Fee Simple Titleholder Name Owner Phone Number,
Fee Simple Titleholder Address
JOB ADDRESS ('DR /z�Y� LOT#
SUBDIVISION. PARCEL ID# 9`'2 (O.-2z' 0 U/U—ood o 0 —OD17 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK"PROPOSED NEW CONSTR ADD/ALT SIGN [�:., [� DEMOLISH
e INSTALL R REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE-OF CONSTRUCTION BLOCK 0 FRAME STEEL Q "
DESCRIPTION OF WORK 7- �� �'l� 6T1 Id° �M�GCL. '
BUILDING}SIZE SO FOOTAGE= HEIGHT- �.
BUILDING $ '
=. VALUATION OF TOTAL CONSTRUCTION"
QlEL ECTRICAC $ �60 0, 00 AMP SERVICE Q PROGRESS ENERGY •Q W.R.E.C.
=PLUMBING $
=MECHANICAL . $ VALUATION OF MECHANICAL INSTALLATION
� I
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED;FLOOR ELEVATIONS FLOOD ZONE AREA =YES• . NO "
BUILDER+ COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y•/N
Address License#
ELECTRICIAN ' COMPANY
SIGNATURE D� REGISTERED Y/ N FEE CURREN
"Address T10&r /`uZir6s/Yi)lj 33 SY(J 1 License# r< 0aO�S��
i. •
PLUMBER '• `" COMPANY
SIGNATURE REGISTERED Y/ N . FEE CURREA Y/N
Add ess. . License#
MECHANICAL.._ COMPANY
SIGNATURE:;" REGISTERED Y/ N FEE CURREN '
•.Address License# I
OTHER; 4., COMPANY'
SIGNATURE REGISTERED L Y/ N FEE CURREK i •Y:[N
.Address. License#
RESIDENTIAL" Attach`(2),Plot`Plans;y(2)sets of'Bui�ding'Plans;'(1)set of'Energy Forms;'R=0-W"Permit for,new)construction,
Minimum (10);working.'days'after submittal=date:.;,Raquired onsite,Construction Plans,Stormwater Plans.w/Silt Fence installed,.
Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonstlarge 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)-workingr days.aftersubmittal date.-Requiredrdnsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
Sanitary Facilities'&1'dunipster:'Site Work Permit forall new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans. " % i,1. - ..
- ****PROPERTY SURVEY requlred"forali NEW Construction.
Directions:
Fill out application completely.
Owner,t:Contractor sign back of application,notarized
If over$2500,a Notice of Commencement"is required: (AIC upgrades over$7500)
** Agent(for the contractdr-).or-Power of Attorney(for the owner)_woaldbe"someone with notarized letter from owner authorizing same
OVER;THE COUNTER PERMITTING (copy of contract required)
Reroofs ifshingles Sewers Service-Upgrades:-A/C Fences(Piot(Survey/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:.mare..restrictive than County regulations.- The undersigned assumes responsibility forcampliance with:iy
applicable deed restrictions:
UNLICENSED. CONTRACTQRS..AND.CONTRACTOR RESPONSIBILITIES: If the owner.has hired a contractor or
contractors to undertake work,they,may be-requiredto be,iicensed•,in accordance with:6tate and;iocal;regulations. `if'the
contractor is.not licensed as required.�by,law; ,both:;,the owner and-contractor may be cited fora misdemeanor violation
under state-law. If-the owner or intended contractor are uncertain-as-:to what.:licensing requirements--may appiy`for'�`the`=`
intended work, they are advisedto contact.the;:Pasco:County Building inspection Division--Licensing Section at 727-847-
8009. Furthermore,J!"the owner._has hired a contractor or contractors;-he--is advised to-have-the"don `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 unaersigiied understands
,r
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 89417?and }
90-07, as amended. The undersigned also-understands, that such fees, as rtiay'be due, will`beidentifed at the time of
permitting. It`is further understood that Transportation impact Fees-and Resource.;Recovery Fees must be paid,Prior to j
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-tnust.be paid'prior to..permit issuance. Furthermore, if Pasco County Water/Sewer,Im°pact
fees,are due;"they rhust-be paid prior Wpermit issuance in accordance,with applicable Pasco County ordinances.""
CONSTRUCTitah' EN'LAW(Chapter 7113, Flor;da.Statutes,as amended).:--If valuation of work is$2 500 04 or more, I:,.
certify that I the applicant, have been-provided with a copy :of the -Flodda,Construction.,Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer-Affairs. .If the applicarit',i6-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'S7OWNER'S AFFIDAV IT: .1 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. Applicatioon is
hereby made to obtain a permit to do work and installation as indicated. i certify that work.or installation has
commenced prior to issuance of 46 permit and that all work will be performed' theet standards of all laws regulating
construction,County and City codes, zoning regulations, and land development regulations in the jurisdiction. 11also
certify that,l 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/Environmertal Health Unit-Wells, Wastewater Treatrhertt; `
Septic Tanks::
4
US Environmental Protection Agency-Asbestos abatement.
Federal,Aviation.Authority-Runways. ;
I understand that.the:,following;restrictions apply`to the use of fill: i
- 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
licensedby the State of Florida. g
-if the fill material is to be used'in.Flood Zone "A" in connection with a_permitted building using stemwall
construction, I certify that fill will be used only to fill the areawithin 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,.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, "}a
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 t
set aside any provisions of the technical codes, nor shall issuance of a•permit prevent the Building Official from thereafter x
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 I by
the permit is suspended or abandoned for a period of six(6),months after the time the work isacommenced. An extension
may be requested,1 in,writing, from the Building Official for a:period not to exceed ninety (90j 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 YOURPROPERTY. IFYOU INTENMTO.OBTAIN FINANCING, CONSULT '
WITH YOUR LENDEWOR AN ATTORNEY'BEFORE RECORDING:YOUR NOTICE:OF COMMENCEMENT.
- - FLORIDA JURAT(F:S.-i M03)
OWNER OR AGENT? � `�� _ CONTRACTOR 1
Subscribed and sworrf to(or affirmed)before me this Subscribed and swom to.(oraffirm d) efore me.this
by by
Who Ware personally known to me or has/have produced Who Istare 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