HomeMy WebLinkAbout19-21076 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21076
ELECTRICAL PERMIT
PERMIT-INFORMATION LOCATION INFORMATION
Permit#:21076 Issued: 4/08/2019 Address: 5806 18TH 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: 1,450.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 4/08/2019 Parcel Number: 11-26-21-0010-07600-0150
CONTRACTOR INFORMATION OWNER INFORMATION.
Name: REESE-ELECTRICAL INC Name: WILLIAMS FAMILY LIVING TRUST WIL
Addr: PO BOX 862 Address: 5806 18TH ST
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone: (813)748-2353
Work Desc: SERVICE CHANGE OUT
APPLICATION FEES
ELECTRICAL FEE 50.00
INS MCITLO QUIRED
ROUGH ELECTRIC
CONSTRUCTION OLE
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.
Y I V 1"
"Odig q%_
CONTRACTOR PER OFFI OWE
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
rT'rTTTTr.......... ....... Phone Contact for Permitting
L ... ... ....... I......... ........... . ................Owner's Name Mwzrf�3 Owner Phone Number
Owner's Address E:) Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT
SUBDIVISION PARCEL 1D# OD IZ,rY11-00 D I�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL �q REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF'CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK [�WSAr l Q/\A,1e25
BUILDING SIZE SO FOOTAGE[ HEIGHT
i i t 1 2 i 2 2
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
QnELECTRICAL 1$ 1420, oo
PLUMBING 1$ AMP SERVICE DUKE ENERGY W.R.E.C.
=
=MECHANICAL ($ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
6 i v i%N t 1 2 v i I I m i i i v i t v i ff i I I I v I I I I v I i i v I i i i i i i i i I I I i I I I I i i i i i i i i I i I l 1 1 11 1 1 1 2 1 f 1111 1111 a 1 1 1 N d a 1 1 1 2
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address —1 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED �_Y� N_J FEE CURREN L_X)N J
Address License# F�Z_L a)c)o
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N_J
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN L_Y±N_J
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,Stormwater Plans w/Slit 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.
D re.t'l oi:ns:
Fill out application completely.
Owner&Contractor sigh back of application,notarized,.--
. _en'. r —If over$2500,a Notice of-Commencetht,is required.,..(YC upgrades over$7500)
Agent(for the contractor} Power of Att6iney.(for tfie'o'w'n:e' '�',would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITtINd:'.'. ....(co-py,'6Vconiract requited)
Reroofs if shingles sewers.- ..,.SeN ce-Upgtades'A!C'-. ..'Fences(PlottSurvey/Fo6tage)
Driveways-Not over Counterif o'n public roadways..needs ROW
'
NOTICE OF DEED The undersigned understandathat this permit may be subject bo"deed =
which may ba more restrictive than County regulations. The undersigned assumes responsibility compliance with any
applicable re
strictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor im not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain an to what licensing requirements may apply for the
intended work, they are advised ho contact the Pasco County Building Inspection Division—Licensing Section ad727-847-
8OO8. Fudhormono, if the owner has hired a contractor or oontnootomo. he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign' 'g the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AW��� U���«������ V�����Ny�������$� Theundersigned undermbando
that Transportation Impact Fees and Recourse Recovery mmo may apply hothe construction of new buildings, change of
use in existing bui|dinQo, or expansion of existing bui|dinge, as specified in'Pamcm County Ordinance nunmber09-87 and
90-07. oeomendad., 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 ^oadifinobe of occupancy' or final power release. If the project duae not involve o certificate of occupancy or
final power no|emom, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVoter/Sevwer Impact
fees are due,they must ba paid prior to permit issuance in accordance with applicable PosnoCounh/omdinonoems.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): |f valuation mf work io $2.5OD.00mr more, |
certify that |, the applicant, have been provided with o copy of the "Florida Construction Lion Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant h; someone
other than the "mmner"' | certify that | have obtained a copy mf the obovedmocribod document and promise in good faith to
deliver it0m the"#wner"prior bwcommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |ovvm regulating monstnuoUon, zoning and land development. Application is
hereby made to obtain o permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |mxvm regulating
construction, County and City codes, zoning regulations, and )and devm|mpnnmnd regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may applybithe intended vvorh, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but-are not limited bn:
- Department ofEnvironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,VVaterMaatexxaterTreatment.
- Southwest Florida VVot»r yWona8amerd [}iabhot4WeUe. Cypress Boyhmada, Wetland Areas, /4kehn0
Watercourses.
' Army Corps ofEngineera-SaavvaDo. Docks, Navigable VVmtermays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, VVestamvoh*r Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation AuUlohb+Runvxays.
I understand that the following restrictions apply bn the use Vffill:
- -=------UmeofDUia-notaUmxmefd-irrF|ood-Zane'^V"un|ass�-mxpm000|ypsirnnit��� ----' - -' --
- If the fill material is to be used in Flood Zone ^X, it is understood that a drainage plan addressing a
.compensating volume" will be submitted at time mf permitting which is prepared by professional engineer
licensed bv the State of Florida. - _
- If the fill material is to be used in Flood Zone ^A^ in connection with o permitted building'�,using stem vvmU
construction, I certify that fill will be used-only to fill the area within the storii-AiVall.
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 oy fill, on engineered drainage plan mrequired.
|f| amnthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit priorbo commencing construction. Y understand that separate permit may be requiredfor electrical work,
p|umb|ng, eigns, vvo||s' po#|s, air conditiuninQ, goa, or other installations not opeoUioo||y included in the application. A
permit issued shall be construed to be a license to proceed With the work and not as authority bz 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 requesbed, in wrDing, from the Building QfOnio| fora period not to exceed ninahy (80) 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 T0OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
_ __^_ _ ' __^-_-_
OWNER OR AGENT CONTRACTOlic_�- -
Subscribed
Who is/are personally known to me or has/have produced Who isVo—pler—sonaltly�k�to me or has/have produced
as identification. as identification.
otarvpum|n oxafz Notary Public
Commission No. i
^_�
Name of Notary typed,printed or stamped Name of Notary e W. Id
rmy Fab