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Home My WebLink About18-20512 CITY OF ZEPHYRHILLS 5335-8th Street 20512 (813)780-0020 • ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:20512 Issued: 11/28/2018 Address: 5942 20TH ST 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: 3,000.00 Total Fees: 55.00 Subdivision: COLONY HEIGHTS Amount Paid: 55.00 Date Paid: 11/28/2018 Parcel Number: 12-26-21-0260-00100-0020 CONTRACTOR INFORMATION OWNER INFORMATION Name: MTS ELECTRIC Name: JUETTNER CINDY Addr: 10619 BASIL TONY CIRCLE Address: 5942 20TH ST THONOTOSASSA FL 33592 ZEPHYRHILLS, FL. 33542-3875 Phone: (813)850-1320 Lic: Phone: (813)731-0848 Work Desc: REPLACE DAMAGE PANEL APPLICATION_FEES ELECTRICAL FEE 55.00 INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE _ PRE-METER FINAL l l I l I REINSPECTION FEES:(c)With respect to Reinspection fees will co ply 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-813-780-0021 Building Department Date Received Phone Contact for Permitting Owners Name IV wrier Phone Number 813-731-2102 Owner's AddressF 5942 20th Street, Zephyrhills, FL 3354 Owner Phone Number Fee Simple Titleholder Name I I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5942 20th Street, Zephyrhills, FL 33542 LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR Q COMM = OTHER TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL = DESCRIPTION OF WORK replace service and panel due to damage BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =X ELECTRICAL $ 3,000 AMP SERVICE 100 = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY M.T.S. Electric SIGNATURE REGISTERED Y/ N FEE CURREN LY/N Address 10619 Basil Tony Circle, Thonotosassa, L 33592 License# I EC13008292 PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEE CURREN Y I N Address License# 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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,Stonmwater 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. 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) 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 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 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 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 for 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 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 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 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 LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more, I certify that I, 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: I 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 by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I 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. 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. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR —� ubs rib and sworn 6 (or affirme )b ore me this S bscnbed and swo t r affin ed)bef e i -2 —f byl h �C'1 by ' a� is/ar r onolly kq o to m_ r hasihave produced is/ar pe onahly I w to me or h s/have produce vS as identification. d�l'� as identification. AZ--,,Notary Public Notary Public C mm' lion I o. Co sion No. ; Na o a av ype ELINE OGE Name of Notary typed, v JACQUELIN Commission#FF 150422 =*; E BOGES Expires December 12,2018 ,1; Commission#FF 150422 Bonded Thro Troy Fain Ineuronce Aoo•33s.7oI9 ., qa,` Expires December 12,2018 f1P.h' Bonded rh u T1oy Fa7n Ineurance Bm-W.m. APPLICATION FOR REGISTRATION OF FICTITIOUS NAME REGISTRATION# G17000135146 Fictitious�Name to be Registered: M.T.S. ELECTRIC Mailing Address of Business: 10619 BASIL TONY CIRCLE THONOTOSASSA, FL 33592 Florida County of Principal Place of Business: HILLSBOROUGH FILED FEI Number: 82-2900306 Dec 11, 2017 Secretary of State Owner(s)of Fictitious Name: MARTINEZ TRADE SERVICES ELECTRIC LLC 10619 BASIL TONY CIRCLE THONOTOSASSA, FL 33592 Florida Document Number: L17000246305 FEI Number.82-2900306 the undersigned, being an owner in the above fictitious name, certify that the information indicated on this form is true and accurate. I further certify that the fictitious name to be registered has been advertised at least once in a newspaper as defined in Chapter 50, Florida Statutes, in the county where the principal place of business is located. I understand that the electronic signature below shall have the same legal effect as if made under oath and I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, Florida Statutes. MICHAEL MARTINEZ 12/11/2017 Electronic Signature(s) Date Certificate of Status Requested(X) Certified Copy Requested( ) 2019003584 cpt., 18s59 Ree: DS: 0.00 IT: 0.00 01/08/2019 K. R'. 11., Dpty Clerk NOTICE OF COMMENCEMENT Fg ILA 97.0'.qETL*,Pte.G.Vg 6C6-CL.C-RV. C't0Cj_PjFfFLCgh 01/08/2010 01:41 1 'of 1 Permit No. 20512 OR SK 984Y' PG 274 Property Identification No. 12-26-21-0260-88100-0e2e THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property(legal description) Single Family House a)Street Address: 5942 20th Street Zephyr ills. Ft. 33542 2.General description of improvements: Fler:ttiral SArvica and Panel ataplarpmAnt 3.Owner Information a)Name and address: Cindy 3uettner 5942 26rt6 St Z-Hills., FL 31942 b)Name and address of fee simple titleholder(if other than owner) C)Interest in property Home-Owner 4.Contractor Information a)Name and address: M.T.S. Electric 10619 Basil Tony Circle Thonotossas, FL 3359-2 .b)Telephone No.: (813) 896-2 52 Fax No.(Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt) 61ender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: Cindy 3uettner 5942 20th St- 7-Hi F1 3'Ar,42 b)Telephone No.: (813)- 31-0848 Fax No.(Opt.) S.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: t~ Fax No.(Opt.) 9.Expiration date ofNotice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): 11/28/2018 WARNING TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER,713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE.OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING;CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE PP COMMENCEMENT. STATE OF FLORIDA Steve HazetwoOd COUNTY OF PASCO NOTARY PUSUC STATE OF FLORIDA Sijma_tujAi0K0_w_�0For Owner's(Afithorizzd Off i=/DirSKr/Partncr/Manogcr commf#GG09W36 Cinvy Marie 3uettner Rowland /'V$Esl Expires 51812021 PtintNww mWihis '5 day of�L4�W 260.by C_t"1"'-CjL'n �trl�-1'{'gh ` as � '—�,j�..-� {type of�tiuthority,e.g.officer,trustee,attorneyo in STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING ISA TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE iVITN MY HAND A D OFFICIAL SEAL THIS `In go Q Y OF 2 PAULAS.O' EIL,C RK&CO PTROLEEIR BY DEPUTY CLERK .887 l7ky r wb