HomeMy WebLinkAbout19-20824 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20824
ELECTRICAL PERMIT
- PERMIT INFORMATION LOCATION INFORMATION
Permit#:20824 Issued: 2/14/2019 Address: 5250 MASSACHUSETTS 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: 1,500.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 2/14/2019 Parcel Number: 10-26-0010-09300-0000
CONTRACTOR INFORMATION OWNER INFORMATION -
Name: PATTIE ELEC. & REFRIGERATION Name: SHADY REST MHP LLC
Addr: 39111 PATTI RD Address: P O BOX 1931
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS FL 33539-1931
Phone: (813)782-3319 Lic: Phone:
Work Desc: ELECTRIC PANEL SERVICE CHANGE OUT 150 AMP
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL `
2 �
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
t Building Department
Date Received Phone Contact for Permitting
—I............... ... ....
Owner's Name 1A It 0 Owner Phone Number
Owner's Address F_ Owner Phone Number
Owner Phone Number
JOB ADDRESS _sexc u4t kk :5 LOT#
SUBDIVISION =_4A4 fV\0 01-7t PARCEL ID#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL Q _J
DESCRIPTION OF WORK
—kcul<e out
BUILDING SIZE F_ SO FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
EEELECTRICAL $ AMP SERVICE [fffDUKE ENERGY Q W.R.E.C.
5
=PLUMBING 1$
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION A
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN J
Address License#
ELECTRICIAN COMPANY r-C
0 J/\
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# le400 12 (Ie
PLUMBER COMPANY
SIGNATURE REGISTERED, Y/ N FEE CURREN LILN_j
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LKLN J
Address License# F_
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LYLt N
Address License# I
HHHHM I i I I I I I I I I I I s I+ 'i I I I If I 11111111111111111111111111
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 wl Slit 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.,
=o=' .......gill
D
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.Attorpey,(for the owner)wobld be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING- `y' -(c'6py':of-contract r,;q
Reroofe if shingles Sewers �'Se'Ni6e Upg'rades" Fences es(PlottSurvey/Fodtage)
f
i on-pubicroadwdy§..needs-ROW1
Driveways-Not over _o - 'I
NOTICE OF DEED The undersigned understands that this permit may bm subject to"deed" ' ~»
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 hirmd e contractor or
contractors to undertake work, they may be required to be licensed in adcoirdbrice:with'stafe and local regulations. If the
contractor is not Uoonoad as required by |ovv both the owner and contractor may be cited for o misdemeanor violation
under obabo 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 oontnaohzro, he is advised to have the ooninaobz�o\ sign
portions of the "contractor Block" ofthis application
for which will
h �h�v be responsible. Uyou, as the owner sign' as� the
cmntnactmr, that may baan indication that hm is not properly licensed and is not entitled bo permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE'RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Foeomay apply to the construction of new buildings, change mf
use in existing buUd|ngmC orjenpanmion�ofexisbng buildings, as specified in Pasco County Ordinance number 09-07 and
8O-07. asamended. The undersigned also understands, that such fees, as may be due, Will be identified at the time of
permitting. |tio further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid priorto
receiving a "certificate of occupancy" or final power release. If the project domonotinvo|veamartifiootonfnccupancyor
final power ne|eaom, the fees must be paid prior to permit issuance. Furthermore, if Pasco Counh/VVoter/Smvwar Impact
fees are due,they must be paid prior bo permit issuance|n accordance with applicable PescmCountyordinanmsm.
CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes, as amended): |f valuation mf work io $2.5OO.00mrmore, |
certify that |, the applicant, hoye been provided m/iUl o copy of the "Florida Construction Lien Law—Homeowner's
ProtectionCSuidm^ prapanodbmtheFloddoOepa�mmntof-Aoricu|1uraandConoumer/ffairo. U the applicant iasomeone
other than the"owner", I certify that I have obtained a copy of the above described docum ent and promise |n good faith to
deliver itbo the^owner"prior bocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
U w� bedune |ncomnp|ianoevv� U h � applicable /avvoregu|mUngoona�ucUon^ zoning and land devoopmnerd. 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 m permit and that all work will be performed to meet standards of all |avva regulating
construction, County and City codes, zoning nagu|eUono. and land development regulations in the jurisdiction. | also
certify that | 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-Cypreea BaVheedm. Wetland Areas and Environmentally Sensitive
Lands,VVehanWambawabs Tramtmamd'
- SouthVvest Florida VVabar Management District-Wells, Cypress Bayheado, Wetland Areas, Altering
Watercourses.
- Army Corps ofEngineero-SmmmmUe. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit4WeUs, VVostmvvabar Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Au#hority'Runvvoys.
� understand that the following restrictions opp|ytothe use offill:
- Use mf fill ienot allowed in Flood Zone"Vp unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A^, it is understood that o drainage plan addressing a
"compensating volume" will be submitted ot time of permitting which is prepared by professional engineer
licensed the StateFlorida.m y _
- If the fill material is to be used in Flood Zone ^A^ in connection with o permitted building uming stem mxa|
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, | certify that use of such fill will not adversely affect edienm nt
properties. If use of is found to adversely affect adjacentproportiba. the owner may becited for violating
themondiUonoofthebuUdihgpormit |osuedundartheottaohedpermdapp|imgtion, fmr |mtm |eoaUlanone (1)
acre which are elevated by fill, an engineered drainage plan iorequired,
If I ann 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. | understand that separate permit may be required for electrical work,
plumbing, oi0nm' xva|s, poo|a, air monditioninO. gao, or other installations not specifically included in the application. /\
permitioauedmhoUbeconsbumdbmbma |iuenoebop7ocaedwdhthovworkondnctemauthmrhytovio|atm. monmy|. aber, mr
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
un|aoe the work authorized by such permit is commenced within mix 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 vvhting, from the Building Official fora period not to exceed ninahv(9O) 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 ANATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
----FuOm/ua/um*/'(F_u._J],7,»»)
OWNER OR AGENT CONTR4df6R
Subscribed and sworn vm(or affirmed)before methis a b - - —
Who is/are personally known to me or has/have produced W����nown to me or has/have produced
as identification. as identification.
'
Public lfije�_ Notary Public
Commission No. Un
Bon�WTW Troy Fain Inswaaw
Name of Notary typed,printed or stamped Name of Note 14*