HomeMy WebLinkAbout19-20973 1
CITY OF ZEPHYRHILLS
5335-8th Street 20973
(813)780-0020
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20973 Issued: 4/04/2019 Address: 3197 MOULDEN HOLLOW DR
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: 20,000.00 Total Fees: 210.00 Subdivision: HIDDEN RIVER
Amount Paid: 210.00 Date Paid: 4/04/2019 Parcel Number: 24-26-21-0090-00000-0360
CONTRACTOR INFORMATION OWNER INFORMATION
Name: WIRED UP SERVICES Name: KEARNEY, JOSHUA&APRIL
Addr: 2115 18TH ST Address: 3197 MOULDEN HOLLOW DR
WINTERHAVE FL 33881 ZEPHYRHILLS FL 33542
Phone: (863)651-7692 Lic: 'Phone: 813-526-1848
Work Desc: INSTALLATION SOLAR PHOTOVOLTAIC SYSTEM
APPLICATION FEES
ELECTRICAL FEE 210.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE l
PRE-METER
FINAL I
REINSPECTION FEES:(c)With redpect 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.
RACTOR 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 Phone Contact for Permitting
Owner's Name p Owner Phone Number a I�
Owner's Address 'l7 ► 4 L� 6L�� Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
�
JOB ADDRESS q! DI L (3 DW J I LOT#
SUBDIVISION F7 1 PARCEL ID# 7 D—(WOO—006 D
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN = = DEMOLISH
e,,,,}}}} INSTALL 8 REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION Ej BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK cII vi2 D�r.� VU 1,5te—lln
BUILDING SIZE SO FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 0
0c) AMP SERVICE PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Dv
GAS ROOFING SPECIALTY = OTHER Cam'
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
vV
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
�'� l�AA
ELECTRICIAN / COMPANY ` / Ci
SIGNATURE �s_REGISTERED YJ N I FEE CURREN I Y/N
Address y(,V. l/JT�r Lt,u License# Ct/3 Od U to v V
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE - REGISTERED Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREK Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt1111111111t1111111i1111111
RESIDENTIAL Attach(2)Plat 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,Stonnwater 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(far 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/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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 Ondersigned 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.
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,Water/Wastewater 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.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"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 1 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 G N
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT o
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
WNER OR AGENT CONTRACTOR�_re�_.��T
$ p' Subscribed and sw m before b ribed and syta n t for-affirmed)be of me this },
ho is/ar�p is onally known to me or has/have produced W are personally k 6or h av6 p oduced G
V as identification. as identification. 17 a rf
� a
�r Notary Public � Notary Public •;::' �,,
S ommiss5l�N0. g G/, Co ission o7 g
ame dT14_ql6ry typed,printed or-stim0ed Name of Notary typed,printed or stamped
Q JENNIFER L E
yc MY COMMISSION#FF959822
-�o;;�,,••' EXPIRES February 11,2020
t40/1368-0153 FWZallotaryServke.com
INSTR#2019037767 OR BK 9868 PG 2750 Page 1 of 1
03/06/2019 11:50 AM Root:2034120 Rec: 10.00 DS:0.00 IT:0.00
PauCa s. oweiC Ph.D., Pasco County CCerfe&ComptroCCer
Permit No. Parcel ID Nc? Uf lIL 1�!V'!O —03(z
NOTICE OF COMMENCEMMEENTC
Slate of i�l M-I tJrr County of PA;SQ-/�J
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713.Florida Statutes,
the following Information Is provided In this Notice of Commenc`emen �7 �,,+��\ 2�
1. Desaipticn of Property: Parcel Identification No�`t'iylo'!X��l l!1 V+Q��'Qi!J Qd
Street Address:AV3, 1ADUVI-V W-113 Wb+l.LIQ
2. General Description of Improvementna
3. Owner Information or lessee Information If the Lessee contracted for the Improvement:
L U-Dw Im ar-ORRIU-SA dress '0 �w State
Interest In Property: `{�
Name of Fee Simple Titleholder.
(If different
from Owner listed above)
Address
stela
4. ConUaar19D 112 { 09P-12-VIC
c?115N7%-rH t,'r pLl1 (�ry� _ \lam Ste"
Address / �1I✓
tate
Contractors Telephone No.:
No.:
5. Surety. N f11�
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender. P)p
Name
Address City State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Flodda Statutes:
Name
Address City state
Telephone Number of Designated Person:
a. In addition to himself,the owner designates N t'7 of
to race4a a copy of the Uenora Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the explration date may not be before the cornplegon of construction and final payment to the
contractor,but will be one year from the date of recording unless a different data is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1, SECTION 713:13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the fads stated thbrein are true to the best
of my knowledge and belief.
STATE OF F I
COUNTY 0 A C.f�r
Notary Public State of Florida of Owner or esee,or Owners rind
JOjo Kuruvilla r/Dlrector/Parner/Manager
• My COMMIsSion GO 129099
a ' Expires 07/27/2021 ign ory's Titie/Otfice
,
Thefor�goinglnsWmentwasacknoWedgedbeforemeth day of j%4t 20(2by V�^('tor f CeRrhPy�-
—as6J It er• (type of authority,e.g.,officer,trustee,attorney in fed)for
(nam shag of whom Instrument was executed).
Personalty Known❑OB Produced Identificali Notary Signature
r d.
Type of Identification Produced L Name(Print) V
_Cq
wpdaudbcs/nodeecommencomentyc053048
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ��►
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
hlTNES$-MY HAND AND OFFICIAL SEAL THIS InGG�we Trust((pp AY OF 2 /A•...
PAULA S. IL, CLER &COMPTROLL R
BY DEPUTY CLERK W7
City of Zephyrhilis
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: I�J i (� U
Date Received:Site: r q 7 (Jeh �6lIP)
Permit Type: cS far dnavn-f-
Approved w/no comments. Approved w/the below comments: ❑ Denied w/the below comments: 0
This comment sheet shall be kepVwith the permit and/or plans.
MAR 13 2019
K rSer—Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)