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Home My WebLink About19-21486 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 21486 ELECTRICAL PERMIT 4e PERMIT INFORMATION LOCATION.INFORMATION Permit#:21486 Issued: 7/10/2019 Address: 38704 CR 54 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: 904.28 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 7/10/2019 Parcel Number: 02-26-21-0000-02100-0010 CONTRACTOR INFORMATION OWNER INFORMATION , Name: CORNERSTONE PROS Name: MARSHALSEA, CHERYL ORDENES Addr: 4946 LAND O LAKES BLVD Address: 5910 ERHARDT DR LAND O LAKES, FL. 34639 RIVERVIEW, FL 33578-3762 Phone: (813)782-4278 Lic: Phone: 813-541-8237 Work Desc: RISER REPLACEMENT APPLICATION FEES ELECTRICAL FEE 45.00 INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINALoC2 I REINSPECTION FEES:(c)With respect to Reinspection fees will como 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 61ERMM_0Fr1"_,_ 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 I Building Department Date Received 1 -7- 0 - zot Phone Contact 1� 212:' ) ci ttcl=Y-tl-ts L02, (-A 1111-11111 111 . 5 - Owner's Name Owner Phone Number _2 'Ski I Owner's Address o Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 71T JOB ADDRESS CDL26� q010J 4- L LOT# SUBDIVISION PARCEL ID#1-0-� 02,L C0— (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR A SIGN DDIALT DEMOLISH LA R INSTALL REPAIR PROPOSED USE SFR Q COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME STEEL DESCRIPTION OF WORK C'UtOA- Weo'+�G ' BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL 1$ AMP SERVICE PROGRESS ENERGY W.R.E.C. =PLUMBING 1$ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI, LY/N Address License# ELECTRICIAN COMPANY SIGNATURE Y/ N FEE.CURREN Y/N Address U--IN11 1<;9W Licerse# I PLUMBER COMPANY SIGNATURE REGISTERED FEE CURREN LY/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED FEE CURREN LY�-N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F- 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&I 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&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. . . . . . . . . . . . . . . . . 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. 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 must take to be in compliance. 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 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 JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR' Subscribed and sworn to(or affirmed)before me this Sub abed and sworn to(or affirme before me this by `7 10 by Gr re, Who is/are personally known to me or has/have produced Who /are perso ally mown to me or ave produced as identification. �� as i tification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ^'"wH., CARLOS MALDONADO o Commisslon 5 GG 346275 .�, Expires June 16,2023 "°`"••' I""11,u Troy Fa(n Inure, 800385�7019 IA p1710NING MBING_ELEn, 4946 Land 0 Lakes Boulevard Land 0 Lakes,FL 34639 P.813.949.4445 F.813.929.8088 CFC1428982•CAC1816647•EC0001103 July 10, 2019 f City of Zephyrhills 5335 8ch Street Zephyrhills, FI 33542 Permitting Department Effective as of Today, I Donald Hoffman License-- -EC0001103-DBA as Cornerstone Pros,and Dana Spears CAC1816647 and CFC 1428982 hereby authorize,The following persoh(s)to perform any tasks relating to permitting on my behalf. 1. Jay Gamez(Josman ) 2. Vong Lee 3. Shawn Clark 4. Edwin Q Wilhoit 5. Gary Beaurmann 6. Miguel Silva 7. Edward Straughn 8. Trevor Taaffee Thank you Thank you Donald Hoffman = r B NOAU.MCCLE an Spears Cornerstone Pros � MYCOMMISSION 2 tone pros W Bonded I ES:January?2.2 0 m No1ary Fbb6c Und en; '�ioinerstonegro3com;'."