HomeMy WebLinkAbout18-19569 CITY OF ZEPHYRHILLS
5335-8th Street
- (813)780-0020 19569�`
ELECTRICAL PERMIT f/
r'
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19569 Issued: 4/13/2018 Address: 5412 20TH 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: 2,300.00 Total Fees: 55.00 Subdivision: YINGLING ADDITION
Amount Paid: 55.00 Date Paid: 4/13/2018 Parcel Number: 12-26-21-0020-00200-04B0
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ON TIME ELECTRIC INC Name: MIERZWA BERNARD LEIGH
Addr: 16204 TURNBURY OAK Address: 5412 20TH ST
ODESSA FL 3355 ZEPHYRHILLS FL 33542-4629
Phone: (813)545-9333 Lic: HILLS COMPETENC Phone:
Work Desc: REPLACE 200 AMP PANEL
APPLICATION FEES
ELECTRICAL FEE 55.00
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.
C CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
r"
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 I* Phono..C.a.o..n.t._f.ct#or Pernzittin ..`[%$ " 1
Owner'. Rd e z. Owner Phone Number
Owner's A(ldress . �-7/" Owner Phone Number '
Fee Simple Titleholder Name Owner"'Phone Number' `I
I} "
Fee Simple Titleholder'Address
is
JOB ADDRESS LOT#
SUBDIVISION:. PARCEL!D#:
(Ot3TAINED.FROM PRORERTY.TAX NOTICE)
WORK PROPOSED _ NEW.CONSTR ..• .- ADDIALT - `� SIGN Q = DEMOLISH
' e INSTALL 8 "REPAIR
PROPOSED:,USE" SFR :-COMM OTHER
TYPE:OF CON$TRl1CTION. BLOCK Q, FRAME 0. . ITEEL
v �
DESCRIPTION'OF WORK ,x- � FjLI*fA
13U3l:DING SIZE 'S4'F166TAGE= . .'.HEIGHT .[7
'.;.�.
=BUILDING'' $ - VALUATION'OF TOTAL CONSTRUCTION
;,
i�
=1ELECTRICAL $ v AfiliP SERVICE �00 Q' PROGRESS ENERGY [� W.R.E.C:
QPLUMBING $
=MECHANICAL $ " VALUATION OF MECHANICAL INSTALLATION
=GAS Q_ ROOFING_. 0 . SPECIALTY. OTHER,
FINISHED,'FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE.CURREA
Address
'License;# I
i =;:ELEC.TRIGt !'. E- i
COMPANY 0-4�71
-,:SIGNATURE REGISTERED I Y/ N FEWCURREh-
. 1 t Z �-1
:.�• Adiiress ; tN � d.�;�.' 33 cense#'�'f ' �io,. �i:;i : L:: ��3 l�- 6
$IGNi4URE'_ REGISTERED Y./•N•.'` . .FEE GUR�REK"'
Addre.'ss
Y_JSiIECHANtGAl:`'' COMPANY
SIGNATURE:' - REGISTERI D Y/•N FEE;CURF2EN'.`
Add ress>,> License.#' I•....
{:,,•. _ ' -'COMPANY
4; IGNATUR -,, „ `REGISTERED Y/,N EEE CURREK Y/N
J{ .Address. ., ,a:i,B�L .SL:.::.„�• - : License'#
RESIDl=NT1AI. , AttaCl a(2)Ptot Plans;(2 Ysets.oi;Duildln i?laiis 9=°set o€Ener Fgrm`s R 4=.' Perml! 0jb ` nsttuCIan;~
Ften`i1: � O� (�' a` '7., er1....R. .}�"F,c.t,' ..a,:t ...t ',.`2::.
. ,(,,,,.)W fic ��.�1„y ,aft_,subm'ittal;clate:..:Regaieetl°onsite;=Con§tniw±tlon Plans;Stomtwater.`Plans w/Silt.Fence,iristalled,
SanitA.,;°Facilities '1 Opie ,:SI ;Vi/Qrk<Pem=it=for, subitivisiori':a 'e oesyr`F,;os.RAa meesoBP n;i,1i.COMMERGIAL npua oE m -O-W:... .
Permit for new construction.'
}' Minimum ten(10)woddng days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence.installed,,.
Sancta Facilities&:1 dum ter.Site Work Pemtlt fcjPN;nery ro acts.All Commercial requirements.must.meetcom Hance
'
sc`-SIGIV'PERi1T "Attac�i"(2)"sets,4Engtiaeredt?lansa,
i'•:" ''' PROPERTY'SURVEY requlred,tor:all,NEW,constblc. /
r,D�reC„tlorfs:'
FlllFoutapplication.completely.
,,..
Contractor-slgfq:back of':appifeation,notarized
af:over:$2500;_a Notice':of':Comm®ncament'Is required. (A/C upgrades over$7500)
Su; Agent`(for°ttre coritractcrj::or t?owerrnf Attomey`(fartfie dWiier)'would`tie someone with notarized letter from owner authoiizing'same
1=01i,ER EiCOUNERPE ITTiNG' ;(copy_ofcontraet:regwired)
«?Rergofs-If. ingies Sewers• Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways-Not over Counter if on public`�oadways ra"eeds'ROW
• _ .asrs .,...a .. ""^"m'°"'r"""i']
NOTlCE:OF DEED:'RESTRlCTIONS: The:undersi ned.understandsjhatthis p m
g ermit, aybeaubjectto; deed r;:esfnct_ioris'=":b....
-•h.t r= -,'fir. :r,,*,i^'; z;.:;sl i-Z:.::t•:� �Ftia.+:.� ,<F;.i'.>•..^:z-c'}.,,svw..ifiii���,• ,:i
which;'riia�'be.fmorerestirictive:tfienxCoin :re'`ilations:='TFe rindersf-'�` ti< ssurnes figs onsibC, fiotrcom ila v�rith.an
a., ...Y... . ty g 9h i? .
appiicabte,deed restrictions:
UNL:[CENSEp>GONTRACT0RS'''AND" CONTRACTOR RESPONSIBILITIES:"'If rile owner°>Fias.-`Hired a=obratractar•or
contactors-to undertake work;the ;-ma.,b ;rQ fired to 'licensed-Art _and°igcai:,x gala#ions:
d ... Y. rT, i:J.'�7yt.ire t.' -*It,h.stik:^--c`nd',1 e;_�•; ":�"•';^'
contractor.'is not;itcensed as:.,required.by.taw, both the oirvner-and`eonf#actor maybectfed far}a rniedetrreanor•vlQlaticn. ..
under state.law. If the.owner ors intended:-Oontractor-are;uncertain.asAo.what:•licensing.requiter%ientsr�rnaytzap�bl�:=.fof�tt�e+
intended work,:thejr.are advised to canta'crtlie Pasta Cauritjr'Buiidlrig:liispec>ion_Divisioin- .iceiising Section:a#727=847 :
8009. ;Furthermore, -9 the• owner'"has:*hire!d""-a'contractor`or contractors, he is advised to; have:the;.coritractor.(s)
portion's of the "contractor:Block" of.this_application_-for-•which,.they..will:be resportsiole�..If_you;.as°fterorvrrer"sign
contractor, tltat may be an indication that he-is"not proper'iy ltcensedan'is not entifCed`to permitting privileges
County: -
TRANSPORTATION•IMPACTLUTILIT1ES--IMPACT•AND RESOURCE RECOVERY'FEES:`166 and®rsigned.understands..'..
3 that Transportation impact Fees and Recourse Recovery Fees:-may apply taNthe..construction:of new,huiistings,.,ic avn@e#oi`
` use In existing'buildings;.';or%expartsfort of<e iist`rng"buildings, as specked in Pasco County Ordinance_number'M-07'add
90-07;as amended: The°undersigned--also:understandsi-that:;suc#fees":as�r[tay;t et:due Wwi1 tie;.ident�ed��dt�"'th"4'"ti ma�of r":
:
-permitting:-1t is-further•understood that Transportation Impact fees and Resource!Reery:Fees must be paid'pr..tot-to
receiving..a,.°certificateHof•-occupancy" or final:power•release. If the.project:does not:invoive A certificate of:occt7pattcy
fnal=power'releas6;r.the•;^fee.s•:mustbe..: apriorm ,,. urmore=if•-PoCountyWtrSviewe.; F eci
fees"aredue,.t eymusfbepaid:' mssuaneinaccordanceYwtkalibalePco-Couity ordinances.t pp mpairs,: '
CONSTRUCTI6N•:EIEN1X, (Chapter 74'3,'Flortda'Statutes,as amended): If valuation of work is$2x500•OOrior more,,:!.^;,;,,,
certify-that.I, the'applicant,.have•-been,•provided with-.a :copy:;:of.-the.-"Fiadda'• Consltruc#ioti:.'`Lien..ILauii�Homeowner's,
Protection Guide" prepared•by�the,Fibdda Department of Agriculture'and ConsumerAffairs. If the applicant ls somip,pe:.::.
other than the owner",t.certi. _that.!ahave obfaliied a co afthe aboveadescr'itietwtl
I
y pY ocurnent=a,drypr..gmiseyin�.good.:faith
deliverr:it:to'tti'e owner"`prior<to:coiniiten'rn'4
CONTRACTOR'SIOWNER-S AFFIDAVIT.::,J pertifythat'all the irifotmation to this application is accurate and"that all'work
will be done in compliance with all appiicable'fiaws regulating construction, zoning:and;land-:development. Application„is
hereby•made to obtain,,,a.permit.;to,;,dosKwork•-.and_.installation .as'indicated: 'I'certify that no 'work or Jnstalla#i'ora- has
commenced prior`to issuance of'a permit and-that all work will be performed to:•meet standards-bf all taws-regulating:.
construction, County and City codes, zoning regulations, and land development regulations-iri,.-,the jurlsdiction ,4` talso
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 MclUde=but=ate not,limitted to:.
b:.... ..-..e,..•.. -..-...- ::•.
Department of Environmentai"Piofitectitin=Cypress Bayheads; Wetland Areas and 1=nvironmentally Sensitive
rands,WaterfWastewater Treatment. i
Southwest Florida Water Management District-Wells; Cypress ...Bay heads ,Wetland Areas, 'Altering' r; t
Watercourses.
- Army Corps of Englneers=Seawalls, Docks' Navigable Waterways.
Department.,of Heaith_,b& Rehabiiitatiye:-Services1EnvIronmentat-,klealth Unit Wells,:Wastewater`Treatment
Septic°Tanks.`
US Environmental Protection Agency-Asbe_stos.abatement.
Federal Aviation:,Authority-Runway,.s,
I understand that:the foliowirtg restrictions appl}+to the use of.fill:
- Use of fill is not'allowed in Flood Zone"V°'unless expressly permitted.
.if the 'fill-material'pis 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 fi=fiorida.
If the fill matenai is.to-be. used in Flood Zane "A" in connection with a permitted building using -stem waif
construction,,!certh that filf`will be used only to fill the area within the-stem wall. '.
If fill.•materlal is-lo :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 violatingi
the conditions_of the>b[iidfing;permit=issued under thWattaclied:permit'-application,.for.lots'•less-than one (1)
acre which are"elevated by,fill,an engineered drainage plan is requited.
If I am-the AGENT,•FOR-THE OWNER;=l'',prorrilse,in_good faith to-inform the owner;of-the'permitting'conditions set forth in' F;
this affitlauit=priorto commencing'constructton. .1.�dnderstand that,a separate permit may be required for electrical.work;#. `•'- ,'.'
plumbing, signs,Wells,_,pools,-airyconditioning;,:gasi ot,oth6F.'Mstall`ations not specifically Included in the application; A,.
permit issued shait'be construed to be.a Ucense`#o iiroceed with.the work;and riot•as'authortty..to violate,.cancel,;a1#er, or 1
set aside Any provI61o'n9'of`the technical,codes, nor shall issuance of a permit prevent the Building Official from thereafter 1
requiring•.a correcbon_•of•errors;rin plans constr iction,or.viaiations ofany.codes =Every permit Mued`shW[become invalid; t,;_. ....
unless.the work authorized by such permit,is.commenced-Within.six.months of permit issuance, or 9 work authorized by. # .�
the permit:is,,suspended;.or,aba_ndoned-for-.a'period;of six(6)mori#hs:after the time the worts is camrr enced. .An.extension+ '
maybe requested.•in°writing;from the.:Builditig`Offrcla! for a period:not to exceed ninety(06)'days and`wtll demonstrate
justifiable cause for.the 6ktension..:ifwa.,rk:ceases for ninety(90)consecutive•days,the,job.is,considered abandoned:
.S
WARNM�tGG`"TTO�OWNER;`Y OtCR FA L,URE�T,Ot:REC,ORD.,A:NOTICE':-OIr,lcg. IMENGEMEN 'i1flAY=RESULT:IN 1fOUR
PAYING_TWICE'FOR lMhI3O1fEMENTS TD VO:UR R.OPI=RTY .IF:YQE riNsFEND`PTO.�OBTdA(N"{FiNANCiNG;.'C'ONSULT `
WITH YOU1R L)vNlSER OIL' " A'ITC?RNEY BEFORE RECORDiNG°YOUR`NOTi � i!dF-tC0MMENCEMENT ` 'µ
FLORIDAJURAT0.S..t 1Z:Q3):.ti:.. :< _ . - ......
OWNER OR AGENT: CONTRACTOR'..
;Subscribed:andbywom to"(or afSrmed)`before tine this' S �cr�b�d,and sworn or affin�ecib re a this
•sw JJ 11 ��+�
Who!stare personally known to me or has/have produced ,, o s/�nallyknown.to:me or'.has/have,pmduced'.
�as identification: _ -S(t A as identifleatlon.
Notary' Public Notary Public
'ommisslon No. Corn a 4
on N
dACQUELINE BOGE�S422
.•,; .rt�•,,
Jame of Notary typed,printed or stamped Name of Notary " ,f91tbMQ��{1,�,�ber 12,20
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