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Home My WebLink About18-20713 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 20713 ELECTRICAL PERMIT AIO* P I IOC FOTN`. Permit#:20713 Issued: 1/23/2019 Address: 4913 19TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 300.00 Total Fees: 45.00 Subdivision: MOORES FIRST ADDITION Amount Paid: 45.00 Date Paid: 1/23/2019 Parcel Number: 14-26-21-0010-00200-0080 °'..'CONTRACTOR INFORMATION OWNER",INFORMATION t V Name: ON-LINE ELECTRIC Name: PF ALLIANCE BORROWER LLC Addr: PO BOX 921 Address: PO BOX 566 VALRICO, FL. 33595 ZEPHYRHILLS FL 33539-0566 Phone: (813)662-0362 Lic: Phone: Work Desc: REPLACE RISE WIRE ADD GROUND RODS APPLICATION FEES . ELECTRICAL FEE 45.00 INOW11D REQUIRED. .. 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. 1 CONT OR PER OFFI PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ON LINE E L E C T R I C To: City of Zephyrhills 5335 Wh Street Zephyrhilis, F133542 i authorize John Bagamary to act on behalf of On-line Electric in the registration of On-line Electric; I also authorize John to act on behalf in pulling permits in this jurisdiction. Thank your Respectfully Submitted, G�w 4or .lpdrrik County of Hillsborough Sworn and subscribed before me by Horst Odparlik, Personally known,on this 23rd day of January, 2019. YAs 'Amy Curfee so�, NOTARY PUBLIC rs STATE OF FLORIDA U 11 § 6-0;Q 1 0-W 'k (SEAL) Gomm#GG230353 Notary gnature s'�ae �� Expires 6/19/2022 1100 N SIP Street,Ste 2H,Tampa, F133619 (813)662-0362 EC13001753 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department A' Date Received Phan p Contact for Permitting F( ............ .......I..........44=1 .4..... tt�fif Owner's Nam® IM one Number 3 Owner Phone Number Ln1 Owner's Address 4— tnZ!�� Owner Phone Number _VJ VP1 F JOB ADDRESS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE 0 SFR 0 COMM u OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ ? SERVICE W.R.E.C. 0 AMP DUKE =PLUMBING $ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I I I i 0 i i I I I V M V%i M I i I I I I I I I I I I I 1 0!I I I 1 1111 ffi i 2 1 i i i i i i i M i i i i i i I i t i i i i M 0 i i I I I i I I I I i I i i M i M i i i I i i I i V i BUILDER COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREN /N Address License# ELECTRICIAN �kx COMPANY 6 t J-r-t SIGNATURE REGISTERED Y/ N_J FEE CURREN Address F_ License# 00 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address —1 License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LXLN J Address License# F OTHER COMPANY SIGNATURE REGISTERED Y./ N FEE CURREN I_y_LN_j Address License# F IIIIHHHHH"HHHHHHH! 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 wl Silt Fence installed, Sanitary Facilities&I 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 e PERMITTING --,-,:�(qppypf,qpptractr4i�'Oird)s I f_ . . . I Reroofs if shingles Sewers �.Servlce Upgrades-A/C' I 'Fences(Plot/SurveylFoo'tage) Driveways-Not over Cpunterif 6npubII ro 8 ,ee.d;0 a.ways,-n s,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: Ice ify 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 tor 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 Managi ment District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Service;Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways.1 '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 Ito 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 FINAMCM, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM MENT.. FLORIDA JURAT(F.S. 117.03) -— ——_ --- _ ---- _ - OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sw r (or aff ed)before a this by by p Y� r Who is/are personally known to me or has/have produced Who is/are personally known to me or as/have pr duced as identification. `�/, ��.t2� as iden fication. Notary Public CX1 Notary Public Commission No. Commi 'sio No. Name of Notary typed,printed or stamped Name of Nota n Commission#GG 276457 Po, Expires December 12,2M � Bor&dThruTmyFainlnsuratice80 ns7o19