HomeMy WebLinkAbout19-20795 CITY OF ZEPHYRHILLS
5335-8th Street
' (813)780-0020 20795
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20795 Issued: 2/11/2019 Address: 5048 GALL BLVD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 2/11/2019 Parcel Number: 11-26-21-0000-01400-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: L.D.H ELECTRICAL SERVICE Name: NAWAB PROPERTIES LLC
Addr: 4906 CROFTON WAY Address: 18103 KARA CT
TAMPA, FL. 33625 TAMPA FL 33647-3306
Phone: (813)264-5149 Lic: Phone:
Work Desc: REPLACE BAD METER SOCKET
APPLICATION FEES
ELECTRICAL FEE 45.00
r 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.
CONT; PERMMOM
PER 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 Phone Contact for Permitting
.... ......... ..........-...rrrTTTT!.....
Owner's Name Mau rOevner PhoneQmber
Owner's Address I t PVC) 6"LVOwner Phone Number
ty Owner Phone Number
60
JOB ADDRESS aqG LOT#
SUBDIVISION F PARCEL ID9 MOC)
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q Comm OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK Keplact one-6cA Qr o 0 Z_-
BUILDING SIZE SCI FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL 1$ S-OZ, (31D I AMP SERVICE DUKE ENERGY Q W.IRE.C.
=PLUMBING
[MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
I
=GAS Q ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y L N
Address License#
ELECTRICIAN COMPANY CQ+yj CPA V-\C-
SIGNATURE REGISTERED FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN
Address License# F_
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Lyj N J
Address License# F_
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN-_j
Address —I License# I
HHHHH flli I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 2 11111 i 2 1111111111 1 1111111, `1 f I.H.1 11111111111111111 f i 11111111
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 subd-ivisions/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.
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_._.....,,(cppy,.of,contract required),,.
Reroofs if shingles Sp,ers SEiryi, (PlottSurvey/Footage)
Driveways-Not over Cbunter if qn,'pU611"dwb
" 1 -roadways.
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 licen_sed_as-required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the 6w' ner 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, WaterMastewater 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.
) understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"W 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 c sidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEM T MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O IN FINANCING NSULT
WITH.YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE)OF ONINgNgEMENrr
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR J`
Subscribed and sworn to(or affirmed)before me this Stub s ribrl and swo to or affi d befo e me thi s
by 1 b
Who is/are personally known to me or has/have produced Who is/are rsQn Iy known to me or as/have p duced
as identification. EL c 0,1'&Grp -V- as identification.
Notary Public Notary Public
Commission No. Com Psion No
Name of Notary typed,printed or stamped Name of Not
JCommis WIGBG2760
p',F Expires December 1Z 2022
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LDH ELECTRICAL SERVICE
49O6[ROFTONWAY
TAK8PA FL3362S
EC13OO2037
813-299-0913
02/11/19
This letter bauthorizing the following people as authorized agents for U0H Electrical service,
EC13002037,4906 Crofton way,Tampa fl, 33625. This letter is for the City of Zephyrhills Building
Department.B358mStreet,ZephyrhiUs, FL.
`
Owner. Authorized agent.
Lionel DHughes Kathryn
Thanks,
UoneiDHu8hes
` .
Ni, STEPHANIE E.
BALL
ry
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