HomeMy WebLinkAbout19-20888 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 2088 '
ELECTRICAL PERMIT l/
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:20888 Issued: 2/26/2019 Address: 7902 KAY MARIE AVE LOT 309
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: 350.00 Total Fees: 45.00 Subdivision: GRAND HORIZONS
Amount Paid: 45.00 Date Paid: 2/26/2019 Parcel Number: 34-25-21-0180-00000-3090
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SELLARS PLUMBING & ELECTRIC LLC Name: MOSURE, RICHARD & CATHLEEN
Addr: 38836 9TH AVE. Address: 7902 KAY MARIE AVE
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL 33541-7708
Phone: Lic: ER0001711 Phone: 810-434-7046
Work Desc: INSTALL OUTLETS IN SCRN RM
.APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTION EQUIRED
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.
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 Zephyrhiils Permit Application Fax s13-780-0021
Building Department
Date Received Phone Contact for Permitting �1
__�/
Owner's Name I t/� rri S G 1e-� Owner Phone Number �� O 3 . D
Owner's-Address 9 o �. [ vlz Owner Phone Number:
Owner•Phone.Number �-
JOB ADDRESS ! d 2- Kiv LOT#
SUBDIVISION . aa,t4N1 //'Dat ryo PARCEL ID# 7` S• ! ti! �'�-0,001,v
(OBTAINED FROM PROPERTY TAX NOTICE)" '
WORK PROPOSED -NEW.CONSTR ADD/ALT C� , SIGN Q Q DEMOLISH
R.. INSTALL 8 REPAIR
PROPOSED USE 0 SFR- Q COMM OTHER. ..
TYPE'OF CONSTRUCTION- Q BLOCK 0: FRAME- STEEL- Q
DESCRIPTION OF WORK /VS &IV /2' y c 7'it-4c to U
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 15�, C1 AMP SERVICE Q DUKE ENERGY Q W.R:E:C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION-
=GAS 0 ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS • -,FLOOD-ZONE AREA ,=YES NO
,
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N :, FEE CURREN Y/,N
Address License#
ELECTRICIAN° COMPANY Al A
SIGNATURE REGISTERED Y/ N FEIf CUR Eh• Y/N .
i
Address, License J
PLUMBER COMPANY
SIGNATURE REGISTERED Y./'N FEE CURREN {Y'/•N"
Address License.# F
MECHANICAL , COMPANY
SIGNATURE REGISTERED `'Y/ N FEE CURREN
Address License-#
OTHER COMPANY
SIGNATURE. REGISTERED 1, Y,/ N FEE CURREN
Address• License# 1
RESIDENTIAL Attach:(2)Plot.Plans;;(2)sets of Building Plans;0)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 Feice`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.day&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 Engilneered'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 contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Fodtage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit maybe subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wl?h any
applicable deed-restrictions:
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: 1f, the owner has hired a.1 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'6s.'Jo 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:IMPACTILITILITIES 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-ekpansion 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,Ahey.must be paid prior to permit issuance in accordance withapplicable 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 1, the applicant, have been provided with a, copy,of the "Florida Construction Lien Law—Homeowner's
Prot6ction.Guide",,prepcired 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'SIOWNElk'S:AFFID"IT: 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 1ssuance,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 arenot limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland.Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways:
erway&
- 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"Vn 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,.canc, el, alter, or
set aside any provisions of the technical codes, nor shall issuance,of a permit prevent the Building Offici6l from thereafter
requiring'a correction of errors'in�plans, construction or violations of any codes. Every,permit.lssUed.shall'become invalid
unless the.work authorized by.such-permit r 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,Jn writing, from,the.Building Official for a period not to exceed ninety (90).days and will demonstrate
justiflable.cause forthe.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'O'6111.11MIPROVEMENTS 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 affirm6d)before me this Subscribed and sworn to(or affirmed)before-me this
!by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. —as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,'printed or stamped