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HomeMy WebLinkAbout19-21179 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 21 i79 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:21179 Issued: 5/02/2019 Address: 5900 DOGWOOD 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: 18,500.00 Total Fees: 202.50 Subdivision: COLONY HEIGHTS Amount Paid: 202.50 Date Paid: 5/02/2019 Parcel Number: 12-26-21-0260-01900-1230 CONTRACTOR INFORMATION OWNER INFORMATION Name: WIRED UP SERVICES Name: BLACKBURN THERESA& BLACKBURN-B Addr: 2115 18TH ST Address: 5900 DOGWOOD ST WINTERHAVE FL 33881 ZEPHYRHILLS, FL. 33542-3862 Phone: (863)651-7692 Lic: Phone: (813)469-8139 Work Desc: INSTALL SOLAR PHOTOVOTAIC SYSTEM APPLICATION FEES ELECTRICAL FEE 202.50 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. CQN!AACTOR PER OFFI 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 �j 7yc) ,( Pe Contact�for PermitUn Owner's Name G�t� CC f 1 a�,hVon—bucr�/1 Owner Phone Number! Owner's Address cj/W avail _51' Owner Phone Number Fee Simple Titleholder Name I I Owner Phone Number Fee Simple Titleholder Address II JOB ADDRESS V0 cod- J �7 LOT# SUBDIVISION PARCEL ID#I9-0?&.p (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME/ �,L= STEEL = DESCRIPTION OF WORK (/ SCL, /IC//�V d( ��i s S tW BUILDING SIZE I SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 0O AMP SERVICE = PROGRESS ENERGY /Q1 W.R.E.C. =PLUMBING �,J I7 =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 s License# ELECTRICIAN COMPANY SIGNATURE /, �L REGISTERED / N FEE CURREN Y/N Address rl� -�gm plo 1,?Wtu l�aa`� rL WI License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address I License# OTHER COMPANY ` SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 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. (AIC 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 on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"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: If the owner has hired a 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 law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are 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. Furthermore, if the owner has hired a contractor or contractors, 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 owner 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 IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I 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 of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is 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 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 Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is 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 the 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 required. If I am the 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. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, 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 issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a 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 A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR m PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT o` WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. N FLORIDA JIJRAT 17.03) I o OWNER OR CONTRACTOR rn c N `Subscribed'an sworn /(or affrmed)b or m S b ib d� orn to Faffirme of re me this o-•Nr: by C! G 3 w^ is/ar eylont4y cj o me or has/have p oduced Who i personally known to or has/have produced tl 7 E o C% — Yj—7 s Identification. as identification. U•g y YE Z LL� f(lf�nv'� Notary Public Notary Public (::�462:�;_ y� C�unission o. � IV4 Com i o. a ©6 t1f j?/1 fit° � earj NarhJ Notary typed,punted or stamped Name of Notary typed,printed or stamped MY COMMISSION t/FF-959822 '9�'OF FL•,.`�` EXPIRES February 11,2020 t40/1398-0153 FlorldallotarySarvice.com INSTR#2019061431 OR BK 9888 PG 2362 Page 1 of 1 04/12/2019 01:56 PM Rcpt:2045466 Rao: 10.00 DS:0.00 IT:0.00 Paula S. O'Neil Th.D., Pasco County CCerk&Comptroller r Permit No. Parcel ID No,r7-Z (1 1 OLJ'bj q W 3c:30 NOTICE OF COMMENCEMENT State of Ek 0f1[\0._ County of \0—a= THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following Information Is provided In this Notice of Commencement 1. Description of Properly: Parcel Idoniificaton No. Street Address: 2. General Description of Improvement 1L "40 lnF- \6kr h(Ao\)01 Ar, t G 3. Owner Information or Lessee Information If the Lessee contracted for the improvement came �enhych�Its Address � city State Interest In Property: �d(LD *� Name of Fee Simple Titleholder (If different from Owner listed above) G dress City State tractor. I W WilaAeg 6 t .l • , ss (�� � �f City State 00 d ctors Telephone No.:NA-BOO—9 7 ®•o �Q Name �Ot Mae City State ount of Bond: $ Telephone No.: Q F- Z Lender. W LL. Name l- — U z O Hp F} Address City State O 0 H -1N M 2 _ Lender's Telephone No.: 4�1 Ur LU F- LU 111 U) IL07. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by M LV Z_ J :R Section 713.13(1)(0)(7),Florida Statutes: U-I-- O Name LL- OOOuV ~ d w address city state QO Telephone Number of Designated Person: 2 U U Z G(F- I- J Q In addition to himself,the owner designates of Y U m LL to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes, LLW '7-) Z O Telephone Number of Person or Entity Designated by Owner. Qc� tYu. z J LLI O O } FVIrafton date of Notice of Commencement(the expiration date may not be before the completion of construction and gnat payment to the LL. C U nbactor,but will be one year from the date of recording unless a different date is specified): ® O O I (n WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT LLIQ ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN !LI (I) Q J J RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE Lij RECORDED AND POSTED ON THE JOB SULT LL WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR BEFORE THE FIRST INSPECTION. IF YOU DNOTICE OF COM TO OBTAIN MENCEMENT. I- 0 1.- a CLl ILO F- F- Under penally of per)ury.I declare that I have read the foregoin lice of commencement and that the fa stet therein era true to the best of my knowledge and belief. STATE 1 COUNTY F P,AMNote Public State of Florida Notary Signature of Owner or Lessee,or Owns s or ee's Authorized ap Jojo Kuruvilla Officer/Director/Partner/Manager gc < My Commission GG 129089 (�r or eg Expires 07f27/2021 Sign ttorypTdelOffice O The foregoing Instrument was acknowledged before me thls day of zo oby ('J//Oat /19111 H' es cc;��ar v (type of authority,e.g.,officer,trustee,attorney In fact)for �YPa( ✓� f�M (name of�ter r�b) H of whom Instrument was exewted). y' Personally Known❑QB Produced Identi ati �� Notary Signature u , Type of Identification Produced Name(Print) wpdata/bcs/rogcecommen cement_pc053048 City of s BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: Site: Permit Type: t '"� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: 0 This comment sheet sh e'ke`pt with the permit and/or plans. Ap Kalvin S i r—Plans Examiner Contractor and/or Homeowner (Required when comments are present)