HomeMy WebLinkAbout19-21288 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21288
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21288 Issued: 5/24/2019 Address: 38916 8TH AVE
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: 2,000.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 5/24/2019 Parcel Number: 11-26-21-0010-11200-0011
CONTRACTOR INFORMATION OWNER.INFORMATION
Name: KINETIC ELECTRIC LLC Name: F&R BLOCK HOMES LLC PMB 170
Addr: 13327 LAKESHORE BLVD Address: 35246 US HIGHWAY 19 N
HUDSON FL 34667 PALM HARBOR, FL. 34684-1931
Phone: (727)862-3000 Lic: Phone: (727)364-6441
Work Desc: ELECTRICAL SERVICE UPGRADE 200 AMP
APPLICATION FEES
ELECTRICAL FEE 50.00
IN EC I REQ 1.-RED
ROUGH ELECTRIC
CONSTRUCTION POLE G/
PRE-METER / 1
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
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received 2 q jy Phone Contact for'Permitting
Owner's Name �� (� to HCJ j S L GG Owner Phone Number
Owner's Address Owner Phone!Number �-
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address /
JOB ADDRESS 1 (� '`� Ave. . LOT#.
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0:, Q DEMOLISH
i.
e "INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION . BLOCK Q FRAME STEEL Q
DESCRIPTION OF WORK fev'WCG
BUILDINGISIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION.
=ELECTRICAL $ Z000, eel AMP SERVICE ZZC1d PROGRESS ENERGY .,0 W.R.E.C.
=PLUMBING $
=MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION
E L .
=GAS 0 ROOFING Q SPECIALTY OTHER "
FINISHEDiFLOOR ELEVATIONS FLOOD ZONE AREA =YES" NO
r, BUILDER COMPANY
SIGNATURE REGISTERED Y/ N• FEE CURREN
Address F License#
{
ELECTRICIAN � COMPANY AC 0 ev Vl G LL G
SIGNATURE REGISTERED Y./ N FEE CURREN Y/N-
t r
Address ( J��Z� �eS ur'e j /✓ . ....
License# f:C 1700ZZ-73
z
PLUMBER ` COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address. License#"�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� 'Y/N
r,
Address, License#
OTHER •G,.r COMPANY
SIGNATURE -REGISTERED Y/`N FEE CURREN Y,/"N
Address F7 License#7
RESIDENTIAL Attaahi(2),Ploti Plans;'(2)_setsof`Building'Plans;(1 j set Of'Energy Forms;R-O-W'Permit for new construction,
Minimum.ten:(10)workta ing i iih6i submittal date ',Required'onsite-ConstructionPlans,Stormwater Plans,w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivislonsliarge 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.dateRequired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,.
Sanitary.FacilitleiA 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 requiredfor'all NEW construction.
Directions:
Fill out application completely.
Owner&;Con_tractor sign,back of application,notarized
If over$2500,a Notice of Commencement is required: (A/C upgrades over$7500)
'* Agent(for the contractor}or Power of Attorney(far the.owner)would be someone with notarized letter from owner authorizing same
OVER THE.COUNTER PERMITTING (copy af_c.-ntract required);
Reroofs if shingles Sewrecs._. Service,!iPgraifesy1AlG:y:; Fences(Piat/Survey/Footage)
Driveways-Not over Ccuriter if on blic'roadW6ys:needs RUW
+,-;.;" ,,apt.c..t.ro'!'i•.t., i..,
NOTICE OF DEED RESTRICTIONS:°The,undersigned understands that this permit-may be.subject.to"deed" restrictions"
which maybe.more..resttrictive tFian_C,ounty,regulations. .The-undersigned.assumes responsibility for compliance withany.
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:
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 apply4br:the
intended work, they are advised to contact th&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 sigmas 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 Recourse Recovery Fees may apply to the construction of new-buildings, change'of
use in existing buildings, or expansion of,existing,buildings,.asspecified in Pasco County Ordinance number 89-07and {
90-07, as amended. The undersigned also understands, that such fees, as maybe 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;involue a certificate of occupancy or
final power release,,the fees must be paid,prior to.permit issuance. Furthermore, if Pasco County Water/Sewer Impact f
fees are,due,'they must be paid prior to,permit issuance-in accordance,with applicable Pasco County ordinances.
'R CONS UCTION--LIEN LAW-(Chapter 713, Florida.Statutes,as amended).. If valuation of work is$2,500 00 or gore; I"
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeow I er'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.'commencemenf: 1
CONTRACTOR'SIOVItNER'S AFFIDAVIT: 1 certify that all the inf6rination 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 reguliiting
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,WatedWastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Alt nng
Watercourses.
Army'Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic-wanks: r
US Environmental Protection Agency-Asbestos abatement.
Federai:Aviation-Authority-Runways.
I understand that'the f6flowing'restrictions apply to the use of fill:
- _ Use of fill is riot"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 eievated'by fill,an engineered drainage plan is required. j
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 ,4a
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,'an:writing, from the Building Official for a:period not to exceed ninety (90f days and will demonstrate
justifiable cause for-the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned: =i
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=YQUR-I.ENDER'OR-AN=ATT-ORNE'tBEFORE RECORDING YOUR NOTICE OF COMMENCEMENT
FLORIDA JURAT(F.S.11T.03)
OWNER OR AGENT �'�' ' � CON TRACTOR
Subscribed and swo (or affirmed)before me this .� Subscribed and ��to foraffirmed)before me.this
by by 1h,
Who Is/are personally known to me or hasthave produced Who Is/areDpersonally known tome or has/have produced
as Identification.- Uce gf as Identification.
Notary Public - Notary Public
Commission No. Comm Sion o.
:;"• JACQUEUNE 8
Name of Notary typed,printed or stamped Name fib, ty te6oN i69