HomeMy WebLinkAbout19-20678 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20678
y ELECTRICAL PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:20678 Issued: 1/16/2019 Address: 37940 BRIDGE 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: 500.00 Total Fees: 45.00 Subdivision: WINTERS
Amount Paid: 45.00 Date Paid: 1/16/2019 Parcel Number: 14-26-21-0000-00200-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: FIRST CLASS ELECTRIC INC Name: WINTERS ( TOPPING WILLIAM)
Addr: 7141 BERRY RD. Address: 38022 WINTER DR
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)715-6286
Work Desc: REPLACE ROTTEN POLE
APPLICATION FEES
ELECTRICAL FEE 45.00
INS ECTION AFEQUIRSA
ROUGH ELECTRIC /
CONSTRUCTION POLE r
PRE-METER Il
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.
Alto-,
CO CTOR 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 II Phone Contact for Permitting —
Owner's Name Ir}�'S () 1-e Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS )JY)C� L LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR e ADD/ALT = SIGN. = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK fie. Q .G l P
BUILDING SIZE SQ FOOTAGE o HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
_ELECTRICAL $ J00 p, AMP SERVICE �UKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# nI
ELECTRICIAN 1!/ COMPANY ���wGfdA "hr lt�11I �eC' �
SIGNATURE �( A ` REGISTERED Y/ N1 FEE CURREN LYLN
Address 1 Lo License# EC 0 N 2--570
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
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#
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. (A/C 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 coiltracf required)--.,,
Reroofs if shingles Sewers Service=Upgrades-A/C .• `'Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on publicroa`dway--:,:needs ROW'...`:
'.
.
'
NOTICE OF���� understands that to"deed"tpstrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for corrlpliam�e'With-a '� -
�
applicable deed restrictions. �
UNLICENSED C0NTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the nvvnmr has hired a oohtnacbor 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 |avv 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 e contractor or nontnochora, he is advised to have the contractor(s) sign
porUbnm of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
oontnaotor, that may beon indication that he is not properly licensed and is not entitled to permitting privileges in PmmoV
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
Unm in existing bui|dingo, qrexpansion of existing bui|dinga, as specified in Pasco County Ordinance numnbev@9-O7 and
90-07. as amended. The undmroignad also underntando. that such fees, as maybe due, will be identified ot the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate nf occupancy" or final power release. If the project doamno{ invo|waooedifinatmofoccupanoyor
final power ra|eaaa, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cnmnh/VVabor/Savwar Impact
fees are due, they must be paid prior ho permit issuance in accordance with applicable PoeooCountyord/nenuan.
.' CONSTRUCTION LIEN LAW(Chapter 7f3, Florida Statutes, as amended): |f valuation of work io$2.5OO.00mr more, |
. certify that |, 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 itto the^ovvner^prior hucommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to moat standards of all laws regulating
omnetnuction. County and Qb/ nodao, zoning regulations, and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayhmodm, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVabar Management District-Wells, Cvpnaaa Bayheada, VVat|ond Areas, Altering
Watercourses.
- Army Corps ofEnQinemrn'8eavvoUo. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-We||n, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runxxmys.
l understand that the following restrictions apply to the use offill:
- Use of fill ienot allowed in Flood Zone^\y' unless expressly permitted.
- |f the fill material is to be used in Flood Zone ^A^, it is understood that a drainage plan addressing o
^oompmnmaUng volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill mohoha| is to be used in Flood Zone ^A" in connection with a permitted building using ubam vxaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill mabshe| is to. be used in any area, | certify that use of such fill will not adversely affect ad|omard
properties. If use of fill is found to adversely affect adjacent pnopediee, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for |oba |eno than one (1)
acre which are elevated by fill, an engineered drainage plan ierequired.
If| amnthe 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. | understand that a separate permit may be required for electrical work,
p|umbing, signs, vvmUs, pools, air conditioning, goa, or other inatoUoUPno 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, after, or
mat aside any provisions of the technical uodmn, nor shall issuance of 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/m suspended or abandoned for o period of six(6) months after the time the work iocommenced. An extension
may be naquoated, in w«UUng, from the Building Official for a period not to oxuoad 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--- 'rLO�oAxVR^Ty=.G.nr.On�- - ---- ---- -- ' '-~ - - --` � -- -
&Lh,� &40t)
OWNER OR ��NT�x����
Subscribed and swom(to Subsc affiffrody before me this
Who is/are pe onally known to me or has/have produced Who is/are fts��me or has/have produced
as identification. as identification,
Notary Public a"(V--a/��(—/;.- &
Commission No. ovmVisonw
� � � �� ��
Name of Notary typed,printed or stamped Name of tary