HomeMy WebLinkAbout18-19634 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 19634
ELECTRICAL PERMIT
PERMIT INFORMATION -,LOCATION INFORMATION -
Permit#:19634 Issued: 5/01/2018 Address: 6132 FT KING RD
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: 1,500.00 Total Fees: 50.00 Subdivision: N/A
Amount Paid: 50.00 Date Paid: 5/01/2018 Parcel Number: 03-26-21-0000-00500-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: HOY ANITA
Addr: 7141 BERRY RD. Address: 7524 MT LAUREL DR
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS FL 33540-2009 .
Phone: Lic: Phone: 813-782-4561
Work Desc: UPGRADE SERVICE TO 200 AMP
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE �1n
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.
CONTRACTAW PER P eOFFI
1fW
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
513-780-0020 City of Zephyrnills Permit Application rax ass-rau-uuc-i
Building Department
Date Received phone Cbntacffor-Permltting
Owner's Name Q 0 Owner Phone Number
Owner's Address Owner Phone Number'.
Fee Simple Titleholder'Name" Owner-Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3r r1 r�i I I S Y Z LOT# C�
SUBDIVISION PARCEL-•ID#:
(OBTAINED FROM P.ROPERTY.SAX NOTICE) "
WORK PROPOSED NEW CONSTR' ADl)/ALT Q SIGN 0' 0 DEMOLISH "
INSTALL 8:: °REPAIR
PROPOSED;USE. Q SFR Q -COMM: 0' OTHER ''
TyptokONSTAUCTION.. 0 BLOCK ] `FRAME 0' STEEL Q.
DESCRIPTION Og-WORK YGdQr ^CQ. �OU alb
BUIL`DiNGiSIZE SQ'FOOTAGE HEIGHT
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
�ECTRICAL $ ' 500 AMP SERVICE = PROGRESS ENERGY Q -W.R.E.C.
. r
=PLUMBING $ ✓ �.{<'E
=MECHANICAL $ VALUATION OF MECHANICAL.INSTALLATIQN -
=,GAS 0 ROOFING 0,. SPECIALTY. = OTHER-
FINISHED,FLOOR ELEVATIONS FLOOD ZONE AREA YES NO
.:BUILDER; COMPANY
SIGNATURE REGISTERED Y''/ N., .''; FEE:CURREt, '
Address --License;#' .-'
D�v\df� IeKnc-
".; :ELECTRICIAN: ; . COIIAPANY r T S$ , t'
SIGNATtRE REGISTERED Y/ N . 'FEEidURREn Y/N. J .
Address' y �%� KGt I 33 (� License#.. E 0 0 0 5 l
PLUM BER:• 'COMPANY::, -.
-SIGNATURE 'REGISTERED Y -W % , a :FEECuRREh.- Y/-N,
Address. License
`; AAECHANI"AI: :.COAAPAPIX
"SIGNATURE',-" REGISTERED Y/ N FEE;CURREP Y./,N
AddFAIk5s License.#
�?COMPANY _ -
:SIGNATURE rs ,- REGISTERED Y'/.N FEE CURREK Y/N
Address;,;,.:., >,,+�T...,::T,. :f�.,: License`#K.r .;;:
!�� nyM:.-'4:;-A'�.' :M,p.�,3; T�.r,r'..t._:e..''•,4e'i� .."S':. if .. '
R SbIENT1AL^<- .Atta" 2'Plot Plans:ry2'=setssof Buil%iln/�`hlaris•''1<1 set of Ene/�/FQ'rms R 0=V1LPerm1L rnew:construction
_ ... (v-).�-... .9 1( /_ •.77,,."•_ .Tt'a is�.i:'.::['Ya•¢: -'.L-;:I?1[::t;.... `I-.-j
:Miriimu ten°1 Q•inw'• (n S:aftel^�utim ital:date;Re wired onsi)e�Contru'ctlon Plans":Sto[inwater'Flans w/SbtFence:.installed
Sanity= °Facilities—P,rp ump ste f iSi Y's'Work P.,erm t,forsubd visiopslla:-a '
.'f n, -1.lJ:Y':=-".w•..y)f�9:�....r� .`. .nr'..'ts'r[t¢:w - :e.•alAti:..,;:iYlt':.
set of Energy_Forms.R-O-W iWf111SRCIAL—Attacti3(2)compute sets of°Building Pans plus a Life`Safety Page;(1 Permit for new constructionr
Minimum ten(10).working days after submittal date. Required onsite,Construction Plans,Storrnwater Plans w/-Silt-Fenceinstalled,--
Sanita: Facilities&1 dum ster Site Wo Pe .
'� SiGN.`•PEitAIIIT `Atta"cli�)'sets�aE�lgl.'neered�Flans:�;.,,;�;y,, it�for�ll.new%projects:All commercial requirements.mustrneet compliance
""PROPERTY SURVEY requlred_fgr,.aII,NE,W_construction—,
Flli out'application.completely.
Owner:&Contra�toc'sign-back of.application,notarized
"A -if:over:$2500i.aNdtita.-of;Commencoment Is required. (AIC upgrades over$7500)
lid:rii,-�t�:.-?i(+t:.:,: i,�•-...-:':-•. .- ..
,: gent(fo'r'the coiitractgr){or Polder•ofAttoritey-(for'the'oWner)woulflie someone with notarized.letter from owner authorizing same
r:•; .. _ -
''_ 01IERz:THE=:COUNTER PERIMITTING.:,:,._•.:.(coPY ofpcontract~required),--' "=`
Reroofs-ifstiingles -Sewers• Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter iron'public ioadways::needs;RQW-:-,
s�
OE DEED RE •hs-1.-:,
NOTiDE. STRICTtONS: 'fire undersiyned:understands;that;this Deemit.rnav beYstab'ect. ti "`
j/'�'•�, {j :to:,deed-resicfians�-
� 1,,..7,..R'f t • �. :..;i'lr+K ::1:r�.';r- .:k• iY^•!"'i.',�'.
��_,;:;u..;:: ...;:,
which.rna"be`more:restflctivet an$'Coi�''t.:re'ulations���:>��aa�u�de>'st'`nad'aassum�esr�s o slbiii`4�'af�cocti�.ilance:v�ithan.
UNLtCENSED`-CONTRAC'FORS AND CONTRKCTOR RESP:ONSIB'iL:ITIES If rile owner iias~ ireda°sontractor'or
contractors to undertake work hy„ma : e.requir '-`io besiicenseid in accordanmc cewith:sta#e;:andaomcasl remgulaatiornvs o=cliaft tattine.contractor.isnot.`Iicensed�asreurew -both'the wn
underVate law. 'I€the owner or-intended:contractor,.are,Uncertain as,:to what,licensing sego rert ei#:firrxay�appt�:for
R R ,r
intended workr:they:are.advised#o conl�act the:Pasch Coun#y'BrllijingInspection.[}rv�sioricerising;S.ectior�a#7274,7-
8009.;•Furfherrnore; "if the owner iias-°hired''a°contractor or contractors, he is advised to 1have,the,cornea tgr(s}
portions,of the "contractor Block"..of this application,for.which.they.:wlll:be.respon,sibl&--Jf you,.68,the owner sigh as
contractor; that may be an indication#ha#he'is not property`ticensed and Vis not entitled to permitting privileges,inhPascoy
County. -
TRANSP.ORTATION-IMRACTtUT1LiTiES�iMP.ACT AND RESOURCE RECOVERY"FE6:''Thd Uhd ri signed.understands:-
that Transportation impact Fees and Recourse Recovery Fees<maY.apply to,>the construction,of._new,;bt?iltlings;
use in l existing'buildings,:sor expansion of:eiist'iri tauiidings, as specified in Pasco County Ordinance number 89'-07 and
90-07, as amended.. The undersigned°also.understands; #hat.sucla.<fees,-as&,may be:due; wiltties identified-'aVtfi;eft rie of :
permitting. -1t is further understood tiiatjfranspartation impact Fees°'and Resource�Recovery,.Fees must be paid:prior:to
receivltg a 'certificate of occupancy or finai,,power release: 'if#he.project:does not.involve;a:coitficate of:occnpdnpjta ; Kx
finali:power-.release;;the:feees=must be:;paid•prior.to-peimi--issuance._:Furffierrrioret i€':,Pasco ota aty WaterfSewer:lmpas#
fees are.due;.:they must;,b6e paid prior to permit issuance.in:°accordance•with'applicai le 0asco County ordinances.
CONSTRUCTION LIEN�LAW(Chapter 7l.3;`Florida Statutes,as amended): If valuation of work is$2,5QO.:QQ oz more,a„ >
certify that 1,-,the:applicant, have':been._provided- with- a:copy;::of:she.:.:"Florida'--Construction*.':Lien_.;Law-:aiorneowner's�
Protection Guide" prepared�by the florlda'Department of Agricuiture and Consumer:Affairs. if the applicant is;someorae;_:-
�> .'. ..
other than the owner", i.certify that i.have obtained a copy of the.°above':;descrbeddocement and:prPmise=inn
deiiverjit,to'tt elowner":{�rior5to.con merrcirment: '
CONTRACTOR'S/OWNER'S AFFIDAV : t6t IT:: tify:that-ail=tile rnforrrtation In this application is accurate and'fhat alf work
will be done in compliance with all appli"ai li0aws regulating construction, zoning:;and:land-:development. Appilcation.Is-
hereby made to-.obtain-,-a' permit:.ao>.do_,work=and...installation..as'1Ihdica#ed'- 1'certify that no work or.installs#I6Wh'as
commenced prior-to issuance of*a permit and-that ail work will be performed to-.meet::standards-.of all laws regulating
construction, County and City codes, zoning regulations, and land development`,regulations lri:;tlie jurisdiction. ,-Falso
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 lncliude but-rare na#:timited519:11
Department of Environmental:°:{Protection-Cypress Baytieads; Wetland Areas and Eiivlronmentaily Sensitive
Lands,WaterMlastewater Treatment.
Southwest Florida Water ManaoOmerit Distract:Wells;''-`Cypress= .Bayheads,; Wetland Areas, Altering
Watercourses.
Army Carps of Engirisers=S6awails, Docks;•Navigable Waterways. _
Department:.,of Health;.,-&';Ref abilitative;•Services/Ent+ironmental:�Health,:Unit-Wells;�Was#ewratertTreatment,
Septic-Tanks;;
US Environmental Protection Agency-Asbestos.abatement.
Federal-Av!at!on;Authority-Runways:
i understand-thatae;foiloviring~restrictions applyta the use of.fili:
Use of fill.is,no(ailowed in'-Flood Zone"V"unless expressly permitted.
- If the fill::material:`is to be used An. Flood Zone "A", 'it is understood that a�drainage pian addressing,.a
compensating volume will be submitted.,at time of permitting which is prepared by a professional engineer
licensed,tiy:the:State;of Florida. .
If the'fill,material,:is-to be used in Flood Zone "A"'in connection with a permitted building using..stem.wall..
construction, l.aertify<that=fill'in►ii1 be used only to fill the area within the:stem wall. ..:.
if fllf:*rrhaterial,is-..to:be used-In-'any area, i certify that use of suct -fill will not adversely affect adjacent,:... .
properties. ,if.use of fill.•is found,to'.adversely affect-adjacent properties, the owner may be cited for.vlolat<iig.'.
the con kbons_:ofAhe°'building permit:issued under--the attached;-permit-application, for'.lots'-less than one {1)
acre which':are elevated by fill,.an engineered drainage plan is requited.
If 1 arn.the.AGENT.FOR:THE:OWNER 'I'.;proinise in_good falthto inform_,the owner.ofahe=perniittiirg conditions set forth in
this affidavlf'prior-to commencing construction. .l.,understand,that.ayseparate permit may be required for electrldal.work;:,
plumbing, signs,-wells,.,pools,_air,.conditioning,ngas.,..orfoth'VAnstaitations.not specifically included in the application,:; A.,.
permit issued shall;be coristruedito,be'a'lldensb4b'proceed:`-it .th'd won and not as=authorityr.to viota#e;.cancei, aiter, or
N '..
set aside:any provislonsof`the technical,codes, nor shall issuance of a permit prevent the Building Official from.thereafter' ..
;1.
requiring'a<correction�,ofaerr_ors:.in,,pians,:construption.or'vioiatiohs of any:-codes:' Every permit issued sha11 beeorrie invalid
unless the work authorized'by such permit Is commenced within,six,months of permit Issuance, or if work authorized�by i,
the permit is-suspended:;orabandoned.;for-;a=iperiod,;of six(6)'months.aftor the time the work!&commenced. .An extension
may be;requested„_In wnting,:from the Bulkfi'ig`Official fora perlod:not to e�tceed rifiridty.(90)days and will demonstrate
Justifiable cause for-tile extension...lf work ceases for ninety(90)consecutive days,the job Is considered abandoned. 4
WARNING'�TO''OWNER:'.:YdUR;xFAILURE fT�O::kR> CO..:D;:A:NOTICE O. COiINMENGEMENT:MAY'RESULT°1N YOUR '
PAYING TWICE_1rOR1 lt gUf2,P'ROPERTY;,.iF,YOU INTEND'°TO,OBTAPN sFINAN'CiNG`CONSULT
INITH'YC1UR LENDER`OR AN ATTBRNEY BEM. RECORDING-YOUR'>N6TiCE�OP=}C'OMMEfVDEMENT:
FLORIDA JLIRAT ,,5&.!1:7.
• �
OWNER OR AGENT. t- CONTRACTOR ,
Subs b and�swo to(or affirm beire me this Subs. om to(or a8irmed} re ni this:
by
s are personally,known to me.or ava.._produced Who is/are personalty;knownao.me'or�has/h�av produced.
as'identiflcatibn. as Identification. _.
Public Notary Public
Commission No. '✓ `y Com fission No.
e -C, c4aitw QuVw(
0- Qnme.-, Q'wc�
Name Name
Jrr` h
DEBRAELAINE RUFFELL `�;;r's¢�;`_pEBRA'EL.IIINE RUFFELL'
Commission#GG 045343 ; ::Commission#GG 045343
N:•, 'e=Expires November 7,202Q ;; Expires November 7,2020
"%?o�i;°".'•' BondadThruTroy Fain Insurance 800 385 7019 Bonded Thru Troy Fafi Inawance 600�85'7019