HomeMy WebLinkAbout18-19626 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 19626
ELECTRICAL PERMIT
'-PERMIT INFORMATION -LOCATION INFORMATION
Permit#:19626 Issued: 4/30/2018 Address: 5104 9TH 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: 1,500.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 4/30/2018 Parcel Number: 11-26-21-0010-20500-0160
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: MAUL LARRY
Addr: PO BOX 862 Address: 5104 9TH ST
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone:
Work Desc: ELECTRICAL UPGRADE 200 SERVICE AMP
APPLICATION FEES
ELECTRICAL FEE 50.00
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.
CONTRACTOR aPER OFFIqt)r�
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED IN PECTIO&/
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
TTTTTTrrrrrrrm Phone Contact for Permitting ..................... .......
Owner's Name Amu\ Owner Phone Number
Address 610m qN -a,
Owner's Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS F -5 10 tA Qom LOT#
SUBDIVISION PARCEL ID# 0-2.05400 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
a INSTALL REPAIR
PROPOSED USE Q SFR Q COMM = OTHER F_
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME 0 STEEL
DESCRIPTION OF WORK OA
BUILDING SIZE SQ FOOTAGE HEIGHT C�=BUILDING $
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE EYf PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY- -
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address License# F
ELECTRICIAN COMPANY L SSG FJ tt_w C.A
SIGNATURE REGISTERED FEE CURREN
Address --Iliov '26-k Zwhii%05 At?i' -ol 6 License# Et�c-1-6011D I
PLUMBER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN LX1__NJ
Address —7 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_Y_LN _J
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F-
1 2
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 subdivisionsAarge projects
COMMERCIAL Attach(2)complete sets of:Bu liding 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&I 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., (AIC.upgrades over$7500)
Agent(for the contractor)or Power ofAttorney'(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'dhpu6ii I c roa dways..needs ROW
'
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"
which may be more restrictive than County regulations. The undersigned osaumempeopmnmibi|ityformornp|iancoyvithany
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired m 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 |oxv, both the owner and contractor may be'6it6dfors misdemeanor violation
under state |mm. If the owner or intended contractor are uncertain as to what |icmn 'ing'nequireme may apply for the
intended xvork. they are advised to contact the Pasco <�ounh/Building Inspection |�khg|on--L|oansingSection ot727-B47c
8009. Furthermore, if the mvonmr has hired a contractor or omntnacdora, 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 cmvnmr 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 U88PACTIUTILUTKESIMPACT AND RESOURCE RECOVERY The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new�buildings, change of
use in existing bu||d|ngm, or expansion of existing buildings, an specified in Pasco County Ordinance nunmber89-D7 and
98-O7, omamended, The undersignede|so,undenatands. thadauchfuem. mmnnaybedue. wiUbeidentifiedsdthetirneof
permitting. It |ofodher' understood that Transportation Impact Fman and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. |f the project doeanotinvo|msacorbfiombeofoncupencyor
final power ne|aame, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counb/VVoter/Gevvar |nnpmot
fees are due, they must bepaid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, FYorida Statutes, asennendmd): If valuation uf work io$2.5OD.ODmrmore, |
certify that 1, the oppUumnt, have been provided with o copy of the "Florida Construction Lien Law—Homeowners
Protection Guide" prepared bv the Florida Department of Agriculture endConsurn Affairs. |f the app|�antkmsonmmonm
other than the"mwne�. | ue�H�that| have obtained a copy of the above' d��nribaddocument and promise in good faith ho
deliver ittm the"mmnor" prior tocommencement.
CONTRACTOR,SNOWNER'S AFFIDAVIT: 1 certify that all the information in this application is accurate and that all xvod«
wU| bm done in compliance with all applicable laws regulating nonetnuob on, zoning and land deve|oprnenL Application is
made�d� to obtain a permit to do ��� and installation as indicated. | certify that no work or inote|sd|mn has
commenced prior to issuance ofa permit and that all work will be performed to meet standards of all |axma regulating
nonstruotiun. County and City codes, zoning ro8u|sdions. and land development regulations in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may apply tolhminbanded work, and that itin
my responsibility what actions l must take bmbe|ncompliance. Such agencies include but are not limited to:
- Department ¢fEnvironmental Protection-Cypress Bovheods' Wetland Areas and Environmentally Sensitive
Lands,VVatenMamtexaterTreatment.
- Southwest Florida Water K8mnmUennmnt Oimthmt-VVoUo, Cypress BayMeoda, Wetland Areas, /ghehnQ
VVohen:ounaaa.
- Army Corps ofEnQineero'SemvmaUa. Ooohs. Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WmUm, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos ebotemenL
- Federal Aviation Authohty-Runmayo.
\ understand that the following restrictions apply to the use offill:
- Use of fill |s not allowed in Flood Zone"V" unless expressly permitted.
- If the fill rnabada| is to be used in Rood Zone "Af, it is understood that o drainage plan addressing m
.9compensating volume" will be submitted ed time of permitting which is prepared by a professional engineer
licensed bv the State ofFlorida.
- If the fi|| msder|$| is to Pe used in Flood Zone "A" in connection with a permitted building using stem wallwall�construction. | certify that fill will U
� m4bouo�don|yto� thaaneavithinthmotemvvoU~ ' ' '/
- If fill n)atehsd is to be used in any area, | 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 undarUle attached permit application, for lots \mso than one (1)
acre which are d by fill,an engineered drainage plan iorequired.
If| amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior bmcommencing construction. | understand that oseparate permit may be required for electrical work,
o|unobin0, o|gna, vxmUo, pom|a, air conditioning, Qon, or other installations not specifically included in the application. A
permit ismuodshall bm construed tobeo license to proceed with the work and not as authority bo violate, oancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring o 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 ia suspended or abandoned for o period ofsix(G) months after the time the work kocommenced. An extension
may be requested, |n writing, from the Building Official for a period not to aoomed ninety (90) days and will dmnnonmtmaha
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 NOTICE OF COMMENCEMENT.
FLORIDA xuRATVr.a.117.03> —OWNER OR OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and swomIRQor affi—rin;d)before me this
Who is/are personally known to me or has/have produced Who Is nown to me or has/have produced
as Identification. t�p as identification.
Notary Public Notary Public
Commission No. / No.