HomeMy WebLinkAbout19-20732 71 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780 0020 20732
ELECTRICAL PERMIT
74. $ PERMIT INFORMATION LOCATION INFORMATION.
Permit#:20732 Issued: 1/28/2019 Address: 5105 6TH 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: 5,307.77 Total Fees: 70.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 70.00 Date Paid: 1/28/2019 Parcel Number: 11-26-21-0010-18600-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: BRANDON ELECTRIC Name: AUSTIN INDUSTRIES INC
Addr: 302 W US HWY 92 Address: 709 W HILLSBOROUGH AVE
SEFFNER FL 33584 TAMPA FL 33603-1305
Phone: (813)653-1473 Lic: Phone: 727-550-6410
Work Desc: REPLACE OUTLETS, SWITCHES, EXISTING BREAKERS IN PANEL, GROUND SYSTEM
APPLICATION'FEES
ELECTRICAL FEE 70.00
INS TIONS RE UIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER / n
FINAL
V
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.
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 I°ax-t51s-1aU-Uuz1
Building Department
Date Received Phone Contact for Permitting —
Owner's Name ��// Owner Phone Number
Owner's Address lien LTG! Owner Phone Number
Owner Phone Number
JOB ADDRESS ® / LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT = SIGN 0 = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION Q 510
`B,LOCK Q FRAME STEEL
DESCRIPTION OF WORK w 1 �
BUILDING SIZE I = SQ FOOTAGE= HEIGHT L
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
2dELECTRICAL $ AMP SERVICE DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER �I
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address r/� License#
ELECTRICIAN COMPANYSIGNATURE REGISTERED REGISTERED Y/ N I FEE CURREN
Address
Address Licems E /;��
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LZI N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
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,Stornwater 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 Fortes.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stornwater 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 Attomey(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(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 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"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 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 NO110E OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed an sworn to(or affirms a ore me this
by 101h Day of January 2019 by Tern w w Edmoneon
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. Personally Kn as identification.
Notary Public Notary Public
Commission No. Commission N .
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamps ����`ar P'��, KELLY LYNNE JENNINGS
-we",t Notary Public-State of Florida
Commission#GG 032855
�,„I1111't;Lr My Comm.Expires Aug 4,2019
Bonded through National Notary Assn.
ML Edmonson Enterprises, Inc. dba Brandon
Bra' ndon Electric
302 W US Highway 92
ELECTRIC
Seffner FL 33584
Phone:(813)653-1473
Fax:(813)657.4404
EC0002579
Service Information Proposal
5105 6Th St
j Billing Information
Zephyrhilis FL 33542-4943 Austin Industries
Contact: Tine 709 W Hillsborough Ave
Phone: 727-550-6410 Fax:
Tampa FL 33603-1305
I Alt Contact: Alt Phone: 813-238-5959 -__---___-__--.-_.--
E-Mail: A112385959@AOL.COM Marketing Campaign
Job Name Call Ahead Servi
L✓ ❑Confirmed --- — --- - ---- -
AUSTIN INDUSTRIES INC-6599 e1 Sales Rep Terms Type ; Class
BILLABLE residential
Job Type PO Route Scheduled Start 4 End
Item Quantity Rate Amount
Estimate - 12/22/18 1 55,307.7700 $5,307.77
Permit S225.00
N.O.0 S45.00
Supply and install outlets in existing outlet boxes on existing wiring
Supply and install switches in exising switch boxes on existing wiring
Install customer supplied fixtures
Supply and install all needed breakers on existing circuits per code
Supply and install smoke detectors on existing wiring
Supply and install range and-dryer outlets on existing wiring
Supply and install attic light and outlet
Hot check home and label panel
Repair wiring to existing a/c unit
Repair wiring under panel
Install new grounding system
(Ail work will preformed on existing wiring this proposal does not include any rewiring of circuits)
Subtotal: 55,307.77
$0.00
Total: $5,307.77
Lock Box Code: Hours: Gate ode: j Ceiling Heights: I Bucket? RT3?
! � I
Customer Otheu
- i" 2sn
This propoi y randon if o signcheduled,and proposed project started within 30 days.This proposal takes into
considerate00 dispatch fee that has been p i, Electric.
Authorization to proceed with work.I,the undersigned am the home owner/representative of this address.I authorize the work to be performed.A
monthly service change of 1 VY%will be added after 15 days late payment,I agree to pay reasonable attorney fees In the event of legal aellon.
Undersigned agrees to release Edmonson Enterprises,Inc.DBA Brandon Electric harmless from damage occurring in the course of work that is out
of their control or if they were not informed on its underground location including without limitation,damage to underground pipes or other devices
while digging,or damage to water pipes or gas lines or to drywall where customer.was informed prior to work,and other materials..I have read&
understand the above statement.I have received a copy for my records.
Brandon
ELECTRIC.
Powered to Perform.
City of Zephyrhills
5335 8th Street
Zephyrhills, FL. 33542
To Whom It May Concern,
Below is a list of Employees who are authorized to sign-and/or pick up permits for
Edmonson Enterprises; Inc. dba Brandon Electric.
Te ance-W:Edronson
Russell
Michele Edmonson
Nicolette Edmonson
The company name, address, and phone number is:
Edmonson Enterprises Inc. dba Brandon Electric
302 W US.Highway.92
Seffner; FL. 33584
13)653-1473
Thank you for your assistance.
Terrance W. Edmonson
President/Owner
A-
y - ' KELLY LYNNE JENMUG's.
o= Nolaryr PubNc=Stab of Florida
� \L •_g". Commission!GG 032855
N g
• . •• • • :4 111 •
INSTR#2019027482 OR BK9860PG 2043 Page 1 of 1
0211912019 09:15 AM Rcpt:2029618 Reci:10.00 DS:0.00 IT:0.00
paura S.0,Nefr,T&D.,Pasco County Crerk&comptroffer
Penns No; 20732 Patcel M No 11-2621-0010-18600-070
NOTICE OF COMMENCEMENT
St,'t*..f Florida coutyw Pasco
THE UNDERSIGNED hereby gK"nado&1hd joM nerd va be moo to M"n real Kweft.and in a=rdance vft Ctl*W 713.nodde,Sbautm
aw falmog Wonneff?"is towni1ded In Ob NcUto of C0,110MCCifteet
1. D,.ui;i4o.oIPrpwty;ParceilicotticallwNa.11-26-21-0010-18600-0070
Seem A� . 5106 6th St ZephyrItHIS,FIL 33642,2. ---
Instal cutiats,and switches on e)dswq wing.Instal grounding sptorn.install bmians in
codsting pancl.
3. omw jarceration or Lessee wonnation ffft Leziee conuaded(w the improwwra:
Austin tndusides Inc
Nam
709 W 1,111inbarounh Ave- Tamps FL
Address Gry Stew
Interest I.pmpww.'
Nam d Fee Sir*tii Tidaholdw. of dfflprA Inarn DMU listed above) Stall
Ctry
4. cwnd--Fdmonson FinfaMfIgAg dba Rrandon Flactdc
seffner FL
Off, State
ConogdWi7efe-phatieNa:813-653-1473
5. Su sty
Narria
Address cay State,
Arnould of Good:S TeLoon&ft:
6. lender
I Name
Acidness 01Y stain
Lenders Telephone No:
1. Pan;cm WWn ma Slit.of Fladda designated by the oygna upon vphm noum or oUw docurnonft may be served as provided by
Section 713.13(11(.M Fiends Stellate-
Nam
Address city stew
Tefeplwane NwnW of Dow"Person:
1. fttin to hhmv.get avvmr designates of
to moeive a copy of the Uwaft Noilm as pm%ilded In Section T1333(1)(b),Ficridat SWttdm
Tetephart.Nant.of Person or Entity 13.0pted by Owner.
EViralion date of Nobw of Comen-mra(the OnAndion d9to may not be beige the conplagon of confibuction and fmal painnerd to the
WARMf10 70 OWNEtt ANY PAYMENTS MADE aV THE OWNER AFTER THE ENPIRATION OF THE NOTICE OF CEW.Mr
ARE CONStDEREb IMPROPER PAYMENTS tlNOER CHAPTER 713,PARTS,SECStON 713.13 FLOPoDA STATUTES.AND CAN
RESULT IN YOUR PAYING TWICE FOA D.tPROVEMENiS TO YOUR PROPERTI'. A N0710Er OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON TFIE JOO SfTE SEFORE THE FIRST IN$PEC710N.IF YOU INTEND TO OBTAIN FINANtlN CONSULT
the but
STATE OF
COUNTY
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