HomeMy WebLinkAbout18-20439 y CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20439
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20439 Issued: 11/08/2018 Address: 39436 9TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 350.00 Total Fees: 45.00 Subdivision: SUNSET ESTATES
Amount Paid: 45.00 Date Paid: 11/08/2018 Parcel Number: 12-26-21-0300-00000-0310
CONTRACTOR INFORMATION OWNER INFORMATION
Name: EXODUS ELECTRIC CORP Name: MSK GROUP INC
Addr: 235 W BRANDON BLVD STE 611 Address: 630 59TH AVE
BRANDON FL 33511 ST PETE BEACH FL 33706-2218
Phone: (813)444-4445 Lic: Phone: 813-420-7149
Work Desc: SAFETY INSPECTION
APPUCATIOM FEES
ELECTRICAL FEE 45.00
1�
INSP CTIONS QUIRED
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.
x1o.-I
NTRACTOR PERNTrOFFI
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 :�441,q 5
rrrrrrrr..........M"rrrrrrrrr= Phone Contact for Permitting
Owner's Name 4-ar Phone Number 5 L 3 �Z 474_
Owner's Address 4-, 0. Owner Phone Number
Owner Phone Number
JOB ADDRESS 3q L-( -3 l6 AVQ_ 7e— L kT _q LOT#�_ FL 335 _2
SUBDIVISION PARCEL ID#I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e
ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL 0DESCRIPTION OF WORK Irspe-ckea +r-,, CIR—f PCL"-Zr 4kt-Kecl 0/1
BUILDING SIZE SO FOOTAGE 3 HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
�z ELECTRICAL $ 3 20 AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING r—
=MECHANICAL 1$ 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 LILN J
Address License#
ELECTRICIAN COMPANY o
SIGNATURE REGISTERED /V/ N FEE CURREN 1,Y/N'
Address r,23 License# 12�CA3L)b�o-36
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N-i FEE CURREN LKLN_j
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N-i FEE CURREN LKLN J
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N _J FEE CURREN L_LLN__j
Address License#
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 subdivisions/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,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.
�41 111 11 i 1 1 111444444444444 ------1144:p:�
on,
DCti C s:
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)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
/
NOTICE OF DEED : The undersigned understands that this permit may besubject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility form»mp|^� b'vvNh any
�oo �abkedeedraothc�ono. '
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 /ovv, 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 |n�pectinnOivioion--L�enming ��mcUonat72 . 47-
8009. Furthermore, if the.owner has hired a. contractor or contractor b.`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 a the
cordnaotor, that may beon indication that ha is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION VMPACTIUTVLUTUESIMPACT 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
QO-U7. awamended. 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. |f the project doaonmdinvo|vaomertificotmofoonuponoyor
final power no|eeam, the'fees must be paid prior to permit issuance. Fudhermona, if Pasco Counh/VVahar/Sexvmr Impact
fees are due,they must ba paid prior ho permit issuance in accordance with applicablePasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713. Florida Statutes, as amended): |f valuation of work io$2.5OO.00ormore'' |
certify that [ the applicant, have been provided with o copyofthe "Florida Construction Lien Low-1-16meownar's
Protection Guide" -prepared by the Florida Department of Agricultureand Conoumer/Nfoire. If the applicant hasomeone
other than the^ownmr". | certify that| have obtained acopy of the above described document and promise in good faith to
deliver itbo the^cwvner^prior bncommencement. '
CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |emom regulating
oonetnuntion. County and City codes, zoning regulations, and land development reQu|abmna in the jurisdiction. | /| �
- `
certify that I understand that the regulations of other government agencies may apply to the intended work, and that if-m
mmy responsibility bm identify what actions / must take tobe|ncompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhmads. Wetland Anooa and Environmentally Sensitive
Lands,Water/Wastewater Treatment. -
- Southwest Florida Water Management Ointdnt-WmUo, Cypress Bmyhoadm, Wetland Areoo, Altering
VVotmroouromo.
- Army Corps ofEnQ|neero-8maxvoUs' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WeUs, VVostexvmh*r Treatment,
Septic Tanks. '
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation AuUlohb+Runmmym. \
|understand that the following restrictions apply ho the use offill:
- Use of fill ia not allowed in Flood Zone Wr unless expressly permitted.
- If the fill mmbaha| /s to be used in Flood Zone ^A^, it is understood that o drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill material is to be uoad'in Flood Zone ^A" in connection with.a permitted building using ob*m vvaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill.nmotnha| is to;be used in any area. | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect '~acent'pnopedieo' the owner may be 'tad 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| ennthe AGENT FOR THE OWNER, | promise in good faith b» inform the owner ofthe permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical vxorh,
p|umnbing, aigno, vveUs, poo|s, air condition|nQ, gmo, or other installations not apacUioo||y 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 ofthe 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 immuanme, 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 naquauted, in vvriting, from the Building C]fOoio| for o period not to exceed ninety (80) 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 ANOTUCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU UNTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NE -O A$ N CONTRACTOR
Subscribed and sworn m(or affirmed)before mothis Sub-scmb,d'd-nd sworn m(or affirmed)before methis*
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
asidentification. as identification.
Notary Public Notary Public
Commission No. Commission