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Home My WebLink About18-20582 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 20582 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:20582 Issued: 12/14/2018 Address:,5904 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: 1,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 12/14/2018 Parcel Number: 11-26-21-0010-04600-0035 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOMEOWNER Name: DILLINGER MARK A JR Addr: Address: 5904 19TH ST ZEPHYRHILLS, FL. 33542-3814 Phone: Lic: Phone: (352)467-0459 Work Desc: UPGRADE SVC PANEL APPLICATION FEES ELECTRICAL FEE 45.00 K r_,� INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE �� f PRE-METER I�i 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. CbN—TRACTOR PERMMOFFI 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 - Owner's Name 144R1Z &-u-IA! - Owner Phone Number �S� y�`7 Dy Owner's Address 59cy/ /q TztST Z Owner Phone Number Owner Phone Number JOB ADDRESS 590-tI /9'd-Y 6T- Z e--P P, cS F LOT# I J SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR • Q COMM = OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK P (Zh l W)21r16 S i/C p/1>J�L BUILDING SIZE SO FOOTAGE = HEIGHT �� I=,CBUILDING $ VALUATION OF TOTAL CONSTRUCTION I X ELECTRICAL $ / AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# ELECTRICIAN COMPANY 141014LX OWWp- SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 5goz1 tg75157- ZeP*YPWILLS License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N 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,Stormwater 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 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 PERMITTING (copy of contract required) Reroofs if shingles Sewers-- Service-Upgrades-,A/C -Fences(Plot/Survey/Footage) Driveways-Not over Counter if ori:public'roadways:.hee ds,.ROW: _ NOTICE OF DEED : The undersigned understands that this permit may hm subject bn^daed^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: |f the owner hamhi�d acontma | r^or �`cnntraonytounda�akevvnd«. theymayberequirmdtobe Ucenaedin0000rdancev�thotataand 'local regulations. If the contractor is not licensed as required by law, both the owner and contractor may bm cited for a misdemeanor violation under state law. If the owner or intended contractor any 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. Fudhermore, if the owner has hived o contractor or oontnactors, he is advised to have the contractor(s) sign portions of�h� "contraBlock"or �|o� of this application on for which they will be responsible. If you, as the owner sign as' � the uontractor, that may be on indication that he is not properly licensed and is not entitled tn permitting privileges in Pasco County. 1[RANSP0RTATUONUMPACT7UTXL0[KES IMPACT AND RESOURCE RECOVERY FEES: Theundersigned un ��iQn� understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction mf new buildings, change of use in existing buUdinQo, or expansion of existing bui|dinga, as specified in Pasco County Ordinance nummbor89-Q7 and gD-O7. auamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It ie further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to � receiving a "certificate mf occupancy" mr final power release. |f the project domonot1nvo|voacedifiootmofocuupmncyor final power na|eoem, the fees must be paid prior to permit issuance. 'Fudhennmne' if Pasco Counh/VVaber/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable FasmoCounh/ondinoncam. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): |f valuation of work im $2.SO0.00ormore, | certify that |, the applicant, have been provided with a copy of the "F|orido Construction Lien Law—Homeowner's Protection Guide-prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant imsomeone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver itbo the"mwner"prior bzcommencement. CONTRACTOR'S/OWN ER°S AFFIDAVIT: | certify that all the information in this application is accurate and that all work will be done in omrnc4kance with all applicable |avm; regulating conotnuctian, zoning and land development. Application is hereby made to obtain m 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 |avva regulating construction, County and City codes, zoning na |u|oUono. and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayhmado, VVeUond Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida VVabor Management District-Wells, Cypress Bayheado, Wetland Aremn, Altering Watercourses. - Army Corps mfEngineero-SeoxmaUe. Docks, Navigable Waterways. - Department of Hao|(h & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. � - Federal Aviation Authority-Runvvoyo. | understand that the following restrictions apply to the use offiU: - Use of fill ie 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 e drainage plan addressing o "compensating volume" will be submitted ot time of permitting which is prepared by professional engineer licensed by the State ofFlorida. - If the fill moteho| is to be used in Flood 3bna ^A^ in'connection permitted m p�rm �d building using stem ma|| omnmbucUon. | ced�v that fiUv�Ub�used only ho fill the area within the stem wall. - If fill material is to be used in any area. | certify that use of such fill will not adversely ufhyot adioomrt properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the condiUonsofthe building permit issued under the attached permit application, for lots less than one U\ acre which are elevated by fill, an engineered drainage plan iarequired. |f| amthe 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. \ understand that a separate permit may be required for electrical work, p|umnbing, signs, mmaUs, pmo|o' 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 iasuanoe, or if work authorized by � the permit io suspended or abandoned for a period nf six/6\months after the time the work iacommenced. An extension may be requested, in vxriting, from the Building [fficin| for o 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 Ah8OTUCE 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. F-_._.-_'AT`F_117-3 OWNER OR AGENT— CONTRACTOR bsc'be nd sworn to affirm his d-and sworn t6 �affi�d) Wing is/aWrplp�lly known to me or has/have produced VVhohas/have produced WLLiL- as Identification. C —as identification. _Notary Public ��IYL AZZ— Notary Public C o m(:�in 197). Com, (iso/n No._ DISCLOSURE STATEMENT FOR OWNER • CITY OF ZEPHYRHILLS BUILDING DEPARTMENT I, have read and fully understand and agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent. to the building. 3. That in the event various phases of construction are subcontracted, he will engage only.properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. S. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-family or two residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a building you have built or substantially improved yourself within 1 year after the construction is complete, the law will presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F:I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must comply w'th all applicable laws, ordinances, building codes, and zoning regulations OWNER'S SIGNATURE DATE ADDRESS PHONE WITNESS PERMIT #