HomeMy WebLinkAbout18-20066 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20066
ELECTRICAL PERMIT
4 - PERMIT INFORMATION LOCATION INFORMATION -
Permit#:20066 Issued: 8/06/2018 Address: 4932 GALL BLVD
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: 7r5_00 Total Fees: 80.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 80.00 Date Paid: 8/06/2018 Parcel Number: 14-26-21-0010-00800-0120
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: HERNANDEZ VINCENT & EMINA
Addr: 7141 BERRY RD. Address: 26652 SHOREGRASS DR
ZEPHYRHILLS, FL. 33540 WESLEY CHAPEL FL 33544-7728
Phone: Lic: Phone: (813)610-7181
Work.Desc: ADD MAINPANELS 200 AMP EACH
APPLICATION FEES
ELECTRICAL FEE 80.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER C�J
FINAL (O�', �o' `
'v lJ
REINSPECTION FEES:(c)With respect to Re!nspectioiV 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.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
David Hayford Electric Inc.
dba First Class Electric
7141 Berry Road
Zephyrhills,1133540
License:EC 00025.70
Phone(813)363-2066 Fax(352).567-6566
davidhayfordelectric@gmail.com
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813-780-0020 City of Z6phyrhills Permit Application Fax 81 3-780-0021
Building Department
Date RecelVed Phone Contact for Permitting F(
.............r1rr'rM rTT71rrrrrrrTT�
Owner's Name Vincent- Hpi(na"indez; Owner Phone Number
Owner's Address qq32 Oe4ll 151,/el "i WV"'-3S 691 Owner Phone Number
Fee Simple1itleholder Name Owner Phone Number
Fee Sirnpld'Titleholder Address
JOB ADDRESS r 2 G \.Id rH -3 0 '354 1 LOT#
SUBDIVISION PARCEL ID#1 -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR APDIALT Q SIGN DEMOLISH
e- INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION O,e LOCK'J
STEEL
DESCRIPTION.OF WORK - ram( e q" JW 12-o Er
'BUILDINGiSIZE SQ FOOTAGE HEIGHT
=BUILDING $
VALUATION OF TOTAL CONSTRUCTION
ENLECTRICAL $ 5_00 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING
1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION.
=GAS Q ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN LILN J
Address License#
0 qatt
V-7vs-+
ELECTRICIAN COMPANY
SIGNATURE -REGISTERED YVN FEE CURREN
t_-c 0 6 0 3L 5--)D Address, License#
PLUMBER COMPANY
SIGNATURE REGISTERED -Y/ N': FEEtURREN L_Y.LN_j
Address License
MECHANICAL
COMPANY
SIGNATURE REGISTERED YJ N. I +FEE CURREN
Address License#T
OTHER COMPANY
-SIGNATURE REGISTERED Y/ N .,FEE CURREN
Address License#
..............
.............
RESIDENTIAL Attach, sets.of Building Plans.(I.)set of Energy Forms;k- -VNP6rtniifo'r.neW onstrucdon,.,
Minimum tdri,04w'orklh6`days after SUbmittal',date.-Required onsit6i Construction Plans,Stormwater Plans wt Silt Fence installed,
Sanitary Facilities&I dumpster;Site Work Permit for subdivisi6nsAarge projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a U i fe-Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
MInImurn'ten(10),Wgridrig.days after submittal+date...Required.ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2yaiits otEngineerid Plans.,
11-PROPERTY.,SLIRVEY required for all NEW construction.
.............. ....... .............
Directions:
Fill'oUt application completely.
Owner&Contractor.st§n,.back.of application,.notarized
If over$2600,a Notice of.Commencement Is required. (A/C upgrades over$7500)
Agent'.0or 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)
itooft 4f shingles Sewers Service Upgrades A/C Fences(PlottSurvey/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 maybe more restrictive than County regulations. The undersigned assumes responsibility.for contpliance;with,`any,,
applicable deed;restrictions. : '
UNLICENSED.CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: lf.the owner has hired 'a_-contractor or
contractors to undertake work ,they may b'e required'to be licensed 1n accordance with.state.and-local,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.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 Piss'-,hired`'a contractor or. contractors,. he.-is.advised to.have the"cohtractor(s);`sign
portions of•the-"contractor Block"-of°this application°for-which they4will 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,inr-.Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Feiss.dric 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,-0T,and_-
90-07- as amended. The undersign ed,-also:understands, that such fees, as maybe due, will-be identified at the�#ime 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 releaser if the.,project does not involve ay certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances."
CONSTRUCTION LiEN LAW(6hapter-7.13, 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'SIOWNER'S AFFIDAVIT:,-1 certify that al[-the-information in this-application is accurate and that ail 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. 1 also
certify that i understand that the regulations of other government agencies may appiy.to I 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,WaterMastewaterTreatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Carps 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 withi_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 TWICEFOR'iMPROVEMENTS TO;YO.UR°PROPERTY `IF YOU INTEWD'TO.OB1'AiN�FINANCING; CONSULT
WITH YOUR tENDER OR.AN ATTORNEY.BEFORE AECORDING'YOUR-NOTICE OF,COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT 1'�a -0 CONTRACTOR
Su s ri ed and swo to(or affi ed) More a this Subscribed and sworn to(or affirmed)before me this
o /D(i by 5h�r by
Who is/are person 1 y known tom has/have produced who is/are 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
1111111111111111111111111111111111111111111111111111111II
2018143417
R. t:1984681 Rao: 10.00
DS: 0.00 IT: 0.00
08/23/2018 J. R. , Dpty Clerk
PAULA S.0'NEIL,Ph.D.PASC0 CLERK S COMPTROLLER
08/23/2018 10:57am I of 1
NOT[CEOFCOMIV>ENNCEMEN'P OR BK 77 PG 977
Pan*NO. 2d066
THE UNDERSIGNED hereby give m5oums you that the improvement will be made to certain real Fmperty,and m ecoosdaooe with
Sectim 713.13 ofthe Florida Statutm the following infirr udm is provided in tbis NOTICE OF COMMENCEMENT.
I.Descriptionofproperty(kgaldr cr4mbx) Kwrgg A rs+ AeA,�j m 1?9 1 PG 57 Leis /Z»13R31x.k 8er�
a)Sweat Address q 5 2 fina.1151YA 2,pWr_&11-c11"EXMIL y9fra,P6 3Y 7 0
2.0meral description of irwavement T
CAFE F ty a rt Ca.
3.t3wna )Niu an 1 i.1 j:k ", M C 1 33syf�
a Nameandadd,esx•VtWCtiR7 rrAGh 1 Z 2 5�.Sl2ereerrGSS ��' .!
b)Name and address offee simple dd&oldcr(if other than owner)
c)Interest in pnVerty ry
4.Caahaetorinsorma6oa ^�`�� } 7/Glj �Jt°r/�`y l�a- LAP �. _✓�r.�{S �����7
a Nemeaod.address !J!i T
b)Telephone NO.: Qr l� Fax No.(Opt)
5.Sutetylefotmadm
a)Name and address
b)Amount of Bond:
c)Teephone No.: FaxNo.(Opt)
6.Lender
a)Name and address
Phan No.
7.Identity of person within the State of Florida designated by owner upon whom notices or other docamem may be served:
a)Namemdaddress:
b)Telephone No.: Fox-No.(Opt)
&.In addition to himself owner designate the following peraoa to receive a copy of the Liemes Notice as provided Madam
713.13(1)(b),Florida Stafr=
a)Name and address:
b)Telephone No.: i FaxNo.(Opt)
9.Expi anon date of Notice of Commencement(fhe expiration date is one year from the date of reemding'dess a difleirat dace is
Sp-ifico.
WAWMG TO OWNER ANY PAY11'IEN[S MADE BY THE+OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMMM UNDER CHAPTER 713 PART t,SECTION 713.13,
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IViPROVEN[ENi"S TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIItST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY 13 ORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF CO MIMCEI4IEENi:
SrA7E OF F AMA
COUNN OF PASCO
or0uads
e :
e�'he forygohtg intrumeat was adWowkdged before metbis I°J day of �ti9 Wt 20�by aSMa1 It i
.A as 1J0 i/.1�1r i (type ofrmha<ity,ag ot£icar. atfomcY
in fact)for v. /(name ofparty oa behalf of whom
Personally Known_OR Produced Idandficatim J Notary signature
Type of Identification Produced EL by i ys y ,1 c-e"CC Name(print)asrmnt.e�. �• �`"`Q'� �,r,,.r�w y.o.
Verification pgammat to Section MM3 ,Florida StmL*&Under pmetties 7e;
,I declare that I have forgo' that `
the fads stated in it the true oo tiro bet of my Imowledge and -lief
-'�i•.
anvma.tt�ms�sA� ,
Ismanuel A Romin Santana
NOTARY PUBLIC
o —STATE OF FLORIDA
?Comm#GG215954
NCE Ex ireS 5/9/2622
GLAL
STATE OF FLORIDA,COUNTY OF PASCO
® � THIS IS TO CERTIFY THAT THE FOREGOING IS A
' TRUE AND CORRECT COPY OF THE DOCUMENT
R Rti-'J2.
,> t s ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
o . 1ye?� *MNSS HAND A OFFICIAL SEAL THIS
AY OF 2
rr•
PAULA S. NE{L, C ERK COMPTROLLER
�� ®� ®���� BY DEPUTY CLERK