HomeMy WebLinkAbout18-19593 CITY OF ZEPHYRHILLS
= 5335-8th Street
(813)780-0020 1 93
ELECTRICAL PERMIT
PERMIT INFORMATION = - LOCATION INFORMATION
Permit#:19593 Issued: 4/19/2018 Address: 5806 EXCEL 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: 2,400.00 Total Fees: 55.00 Subdivision: TREE LANE VILLAGE
Amount Paid: 55.00 Date Paid: 4/19/2018 Parcel Number: 10-26-21-0000-00100-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JIM'S.ELECTRICAL SERVICES INC Name: TREE LANE LTD C/O TEMPLE TERRACE
Addr: 18302 EASTWYCK DR Address: 10912 N 56TH ST
TAMPA, FL. 33647 TEMPLE TERRACE FL 33617-3004
Phone: (813)810-4079 Lic: Phone:
Work Desc: SAFETY INSPECTION REPLACE METER PANEL
APPLICATION FEES
ELECTRICAL FEE 55.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE{- �
PRE-METER S�T-ICJ
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.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e13-78D-ou20 City of Gepnyrnills Permit Application rax-ts�s-rau-vuci
° Building Department
Date Received B/0 _. �� G
Phone Conttctfor Permitting
Owner's Name 1—'e K I�- - Owner Phone Number
Owner's Address. / 0 ,2' 1 Owner Phone Number
Fe®Simpl®•Titleholder Name Owner'PBone Number'
Fee Simple Titleholder Address
JOB ADDRESS J 6 Pic e 1 LOT#
SUBDIVIs o �.T�e `� /►'�`� PARCEL-ID#:
(OBTAINED-FROM PROPERTY.TAX NOTICE)
WORK PROPOSED NEW CONSTR` ADD%ALT 0 SIGN [ Q DEMOLISH
R
INSTALL, e:. REPAIR
PROPOSED%USE• 0 SFR Q :'COMM 0 OTHER
TYPE`OF CONSTRUCTION 0 . 'BLOCK = 'FRAME 0 " STEEL .Q.
DESCRIPTION OF WORK 1` v� L,,-9 �� �0 r;
BUILDING SIZE SQ'FOOTAGE HEIGHT
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE `'� = PROGRESS ENERGY Q -W.R.E.C.
=PLUMBING $
T
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l�
AS Q. ROOFING Q SPECIALTY. Q OTHER
FINISHEDFLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:BUILDER COMPANY
SIGNATURE REGISTERED I Y•/ N, .' fEE:CURREP LUN,J.
Addr®ss C. License,#'
-ELECYRICIAN � - COMPANY ��"`!S
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address ! g 3 c0.S ware �. .P I— �+^�' 33�-y License# EC I 0 0,,V' f�
PLUM:BERi. .;.. 'COMPANY: "
SIGNATURE REGISTERED Y/ N;:' FEE CURREN- Y/N
Address. License
RAECHAiV9CAL COMPANX,
SIGNATURE'.'°' `:{ ` REGISTERED Y/:N FEE;CURREn
Address>,::.:.., License.#
:..OTHERS':x.': COWiPANY.
`'SIGNATURE REGISTERED Y/:N FEE-CURREN' LILN
Address„y, f:. `License'*
- RESIDENTIAI„: '•Attache(2);;Plot:Plans;(2)'sets,of`Building,Plans;(1).setof EnergyForms;rR-QWPertnitfornew;construction,,
iV6nimurrlRten(1Q)i,i.kiiig days�afteE:sU-MItIA 43W."Required°orisite'Constriictiorr Plans Storrwater Plans w/Silt Fence installed;
Sahlta: Facilities,&?;1; um•steG'"SI 'Work pprmit:for.'subdivisionsl)a ro acts'.',;; `='•''
COMMERCIAL Attach3�2)complete'°sets"o kllding-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 llanew'piojects.All commercial requirements must meet compliance
PERMIT Attacfi(2)sets of;Enginee eda?lans; :,_a': ,c '.,.
PROPERTY SURVEY requlred:for.all,NEW construction._.,
FtlDbut.application-.com pletely.
: 'Owner°&Contractor`sign:back of'application,notarized
ifbver:$2500;.a Notice:of:Commencement is required. (AIC upgrades over$7500)
gent(for°ttie-'confractor):or--Powdr,,of•Aftomey(fdr'tlie ownet)would tie someone with notarized letter-from owner authorizing same
OV.ER:.T.HE:COUNTER PERM ITT
IR1G..., (copy..ofwcontract4egwired)
e=Reroofs ifafiIngles Sewers .Service Upgrades A/C Fences(Plot/Survey/Footage)
:Driveways-Not over Counter ifon public=roadways:6&dd9 ROW
NOTIMOF DEED.RESTRICTIONS: The undersigngcltunderstan s;;that..thls•=permit.may:be�sub1ect�to°`,deed'>rest 1 Cflonc.,
,., .:.,�:...i. r.,a_ ..,,�, .:.;: :,.4..a,; �.'+.: E:,7e;.r;:�tl.°''{.;'n'r•t'�i's'iG9:.i.',',`- d++'.�, ': 'F. vas,;-.i",cam:`} ..
which*t�nay4be;;more r..es#ricttve than.Lout#tyr:,egulatior�s _`'�iie�unersigne. ssutes respatslb<ity:for-si;oc 'pliance With=.any _ f
appiicable:deed restrictions
UNLICENSED.•.CONT,RACTORS AN CONTRACTOR RESP,'ONSIBiL ITIES:•--"if-theowner•46sry hired a`contractor or
contractors-to undertake work;;=tile :ma. be;requlr dto°be=licensed in ac..cordance,with.sta#e andaoealregulations*:=If.+fiFieCS=: .=s
contractor.is.not:licensedras:fequi6e`_d by`taw;"b6th.the"avdner,and>contractornn abe`citedJ iar=:arFitisdenieanor•violation. .
understate"law. If the owner or intended co�citractor:.are uncertain as,.to whatiicensi%,req ir'erii%�nts y apl3i f r tiie "`=
Intended work1hey:areadvised to contact the:Pasco County-Buiidirig li spect'ion DEvisiotr=licenstng;Section"_at 727=947
80.09. Furthermore; .if the owner'has'`°fiirecl'a coriiiektor'or contractors, he'is advised tia_,1 ave-the,,.contractor(*]-,,.sign.,_,.:-.
portions of the "contractor Block"of this,ap.licatiomfor.which..they..wiILbe,.responslble;--1f you, as�_ffiii-owner sign as"
contractor; that.may be an indication`ti atfie is not properly licensed'aril Vis naf eint t(ed to permitting privileges in.
County. . . . -.... . ..;: .
TRANSPORTATION-,IMPACTLUTILITIES IMPACT AND RESOURCE RECOVERY'FEES: The undersigned.understands: ..
that Transportation Impact Fees and Recourse Recovery Fees`may?apply#o che.cortstruction_of new.,bu idings;;ct of
use 1njexisting`buil4iri- orexpansion•ol°°:ei ist'iiig.,buildings, as specified in Pasco County Ordinance.number 89.07 and
90-07,�as amended. The undersigned°also.ynderstands;-that such fees,:as°ri ay;,be;:due; wii tie;identifled�,''at"�' eptime
permitting. It is furtheruriderstoodthot Transportation Impact Fee"s and ResourclRecavery:Fees must be paid prior:#o
receiving:a�_%ertificate:of:occupancy"or final,power release. 'If the+.project:does not sinvolve o certificate of.occuo.4hpy.
fina!:powerrelease,the: ees:must lbe.paidprior..to-permit-issuance.. Furthermore,:if;,Pasco;Cbu*htyWatertSeWer=itrtpacti .
fees are due;..they:must i e:,paid prior to;permit Issuance,in,,,accordance'with.appiiaaele,i?asca:Cor my ordinances.
CONSTRUCTION LIEN LAW(Chapter 713;'t=locida Statutes,as amended): If valuation of work is$2,500:0,0;or,.more;hi,,_,r: ..
t......
certify.ithat.l,•-the:applicant, have ;been. provided-with .a :capy;::of:the "Florida.-Construction:::Lien.:Lawr--Homeowner's
Protection Guide" prepared"by the florida.Department of Agriculture and Consumer-Affairs. If the applicant.is•someone,..._
.:x. , . t.l,.have dlb Med`a copy of the:above°descr'i61e:``o ,ent:pn&promise in.-.good fal#n
other than the owner" I.certify.tha
deilver it:to`the"owner?ph, r,'%:'6-imencem oil t
CONTRACTOR'SIOWNER'S AFFIDAVIT:; l,.certify�tliat'aill-the ihformatioinin this application is accurate and'that allwork
will be done in compliance with all appl'icable'laws regulating construction, zonl0§1-ihd,land"•development. Application.-Is
hereby.; made to-.obtain..a•:;permit::to�sdo,,,work and..lnstallation..as'indicated: I'certify that no work or-Yrstal[atiori4 ihas-
commenced prior'to issuance of'a'permit and•that all work will be performed to-.,meet;standardswof all laws regulating
constriction, County and City codes, zoning regulations, and land development`regulations"in:the jurisdiction:'-�I:talso
certify that i understand that the regulations of other government agencies may;.appiy..to..the.intended work, and that lit is.
my responsibility to identify.what actions.I must take to.be,In.compliance:,,Such.agencies inclUde but:are not;llmited=to:
Department of Envlrorime6tal tProte666h-Cypress Bayheads; Wetiaod Areas and Envlronmeritaily Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Mana9ement -District-Wells;.` zCypress. .Bayh'eads,' Wetland Areas, 'Altering :
Watercourses,
Army Corps of Engineers=Seawalls,-Docks,Navigable Waterways..
Department:.-of-Health.4,Rehabilitative.Services]Environmental:4H.ealth�-`Unit=Wells,.-Wastewater Treatment,
•Septic°Tanks: '_ - .. - .
- US Environmental Protection Agency-Asbestos.abatement,
Federal+AV!ation:'Authdtity-Runways,
i understand'that:tt e,'foilbWng~restrictions apply to the use of.fill:
Use of fill is not'allowep in•Fl000d Zone"V"unless expressly permitted.
- - If the fill material:v.is to be used'in Flood Zone "A", 'it is understood tKat'a-drainage plan addressing a .
"compensating volume".will be-submitted,at time of permitting which is prepared by a professional engineer•
licensed.,,4he'8tate:of'Florida. .
If-the fill"materialJ6 to be used in Flood Zone "A"-in connection with a permitted building using.,stem wall,
construction, l.certify.:that-fill'Wil-be used only to fill the area within the.stem walla ..
If fill'rrt'ateriai"!s"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-thiiCb011dirig.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,'.•:promise in,good faith!to inform:the owner.of-#heypermitting,conditlons-set forth in
this affidavit'prior`fo commencing construction:.-A.unde'rstand that^°a separate permit may be required for electrical.work,...
plumbing, signs,-weiis,.,pggt%:air,conditioning,.gas„:.oriother'installations not specifically included in the applicatiori� :A.;.. . :
permit issuedsha!!'be constWedtto be4•license`'t'o=proceed-
set aside any provisions o 1h6technical.codes, nor shall issuance of'a permit prevent the Building Official from thereafter
requiring a-correction�,of,errors:.in;plan'g;-construction,or.:violations•of,any=codes: .Every'permitissued'shiil,,become invalid
unless."the work authorixed'bysuch permit is commenced.within�sixponths of permit Issuance, or if work authorized Irby.,
the permit is-suspended.�or,abandonedefor,a:lperiod., --six(6):months..af#er the time the work A commenced. .An extension
r.„:..,:.3 -
may be,requested,,In-Whting,.fcam..the Building=`Official for a period:not:to:eitceed-ralnety(g0)days and,will'demonstrate
justifiable cause far-the extension.,.If,work.ceases for ninety(90)consecutive days,the Job is.considered abandoned.
v.`;` F t'iLURE TCORECORD:A:.NOTI'CE OF:CCI►MMENCEMENTaMAY-RESUL:fiIN YOUR
WARNING'TO..OWNER.._YOUR,.:,xA,...:,. .; :,:.-. .....as... .. . �..
PAYING;,TWICE`F4.R"i■ P,,.pp81fEMENT'ib-,Y4Ull FROPERTY iF YO:U It EtiID TO OB'T�AiN.F1NA'C1NG;-CONSUt.T ;
WITH YC;ML ENDER CtR'AN ATTORNEY BEFORE'REC.ORDiNG°:YOUR-�NOTICEiOP=CGIVI VtEN6EMENT:
FLORIDA
OWNER OR AGENT., .. CONTRACTOR
Subscribed and'swoin W(or affirmed)before me this Subscribed and swam to(or atfimied)�bdlbmme this
by
Who is/are personaliy.known.M me.or.,has/have.;produced nown.tq meor.hasihave produced a :
as'lderitlfica8on. as identification.
Notary• Public Notary Public
Commission No. 7cornalan
i:,•`,,, JACQUELINE BODES
Name of Notary typed,printed or stamped Name of Notary typ _ ' r. on; . "Expires December 12;2018
�'�,Tt�i §,R Banded TMu Ttoy raln Inmate 840.3a5.7019