HomeMy WebLinkAbout18-20058 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20058
ELECTRICAL PERMIT
- =PERMIT INFORMATION : - LOCATION:INFORMATION
Permit#:20058 Issued: 8/02/2018 Address: 37745 15TH 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: 1,500.00 Total Fees: 45.00 Subdivision: DOWNS ADDITION
Amount Paid: 45.00 Date Paid: 8/02/2018 Parcel Number: 10-26-21-0600-00000-0080
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: PATEL SHILPA
Addr: 39111 PATTI RD Address: PO BOX 2935
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS FL 33539-2935
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPLACE METER SOCKET
APPLICATION,FEES
ELECTRICAL FEE 45.00
INSPECTIONS 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.
Cv
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
...... ............ ... .............rTlrrrrrr U;E33=03=.........
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Fee Simpli1itleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS L LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE Q SFR 0 COMM OTHER
TYPE OF CONSTRUCTION Qt BLOCK FRAME STEEL
'h DESCRIP .ON OF WORK A"(BLOCK
AW9!E!E y
BUtLDINGzSIZE SO FOOTAGE= HEIGHT
1 1 2 a 1
=BUILDING 1$
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE /dd F__1 PROGRESS ENERGY W.R.E.C.
500
14 e-
=PLUMBING $
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION,
GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
+11 "+.H I I I I i I I I I I I I I I H i 111 2 1111 1.11 H 1+1�1 H 111
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_ILN__j
Address License#,
•ELECTRICIAN r COMPANY `4,
SIGNATURE 'REGISTERED, Y:/,N '' FEE CURREN. Y/N
Addrei as License#
PLUMBER, COMPANY
SIGNATURE REGISTERED 1:-Y N' FEECUAREK LILN J
Address License#' F_+
MECHANICAL. COMPANY°"
SIGNATURE: REGISTERED Y/ N FEE CURREN
Add License# I
Address.OTHER._..:__ COMPANY
-SIGNATURE REGISTERED . Y/ N ,FEE CURREN
Address License#
................
....... I il it I HHH!+I.v N!@H I a 2 H!HIfl I�H'I I kl�l I I I ILI I I I I f 111.1"111 il 1111 i 1111
-YA115StDENTIAL Altach,(2),PI4 Plars;:(2)aits_6i Building Plans;.(I.).set of Energy Forms;R� .7W r Permit f6i new'.construcbon,
Ml'n�linumt6n''(10)"w"orkl'n'g'"d-a'y's"eiftir s'tibr�itt'al"da'te; Requ'lred-onsil:6,Consitructldn.Plans;. .Stormwater'Plans w/Slit Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisionsfiarge 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.
Mlnimum'ten(10).working days after submittal date.,Required onsite,Construction Plans,,ftrmwater Plans w/Slit Fence Installed,
Sanitary.Facilifies&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Att6ch(2)iets-of-,Engineered-I?Ians.- -
****PROPERTY,SURVEY required for all NEW construction.
..................
Dicectto
ns:
Fill'out application completely.
Owner&C6ritractorsion back of application,-notarized
if $2500,a Notice of.Commencement Is required. (A/C upgrades over$7500)
Agent'ffor'the contractor),or.Power of Attorney(for the owner)would be someone
eone with notarized letter from owner authorizing same
OVEWTHE,-.COUNTER PERMIT—TING (copy of contract required)
Rei8ibft if shingles Sewers Service'U0§rades A/C ' Fences(PlottSuivey/Footage)
Driveways-Not over Countei;f`6N�p66tf6rbadW*..neidi RO'
YV
ol
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this.permit may be subject to"deed"-estrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for cofmpliance 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-19cal.regulations -Ifthre
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`coritractor-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"6 contractor or contractors, he,-is.advised..to .have the''conttd ri(s)'sign
portions of the-"contractor Block"-of 1his 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 acid 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.�certificafe 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.
CONTRACTOWSIOWNEWS AFFIDAVIT:, l 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,WaterMastewater-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"V" 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 Zane "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 ccommenced. 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�YO.UR'PROPERTY `iF YOU INTEND'TO 013 AIN'FINANCING�CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING`YOUR.NOTICE OFCOMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR_
—Subscribed enil sworn to(or affirmed)before me this - — —Subscribed and swo to r�af8rtiredbe e this-
by by
Who is/are personally known to me or has/have produced Who is/are perso now
to me or has/have produced
as identification. as identification. _.
Notary Public Notary Public
Commission No. Commi ion No. LL
Y i
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
,-DEBMELAINE RUFFELL
:Commission#GG 045343
g.Expires November 7,2020
gored'ihtu Tmy Fain ln+Umanoe 80o-385d.•:i