HomeMy WebLinkAbout19-21000 CITY OF ZEPHYRHILLS
5335-8th Street
- (813)780-0020 21000
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21000 Issued. 3/20/2019 Address: 38018 LAWANDA LP
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: 1,000.00 Total Fees: 45.00 Subdivision: WAYWARD WIND
Amount Paid: 45.00 Date Paid: 3/20/2019 Parcel Number: 14-26-21-0160-00000-0230
CONTRACTOR INFORMATION OWNER INFORMATION
Name: WESLEY CHAPEL ELECTRIC LLC Name: SIRES SANDRA K & CESAR A
Addr: 25678 INKWOOD PLACE (POBox 7297) Address: 38018 LAWANDA LOOP
WESLEY CHAPEL, FL. 33544 ZEPHYRHILLS, FL. 3542-5633
Phone: (813)973-1141 Lic: Phone: (813)277-8968
Work Desc: SERVICE UPGRADE
APPLICATION-FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE h
PRE-METER
FINAL
.�f
REINSPEC77ON 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.
"C'ONtRACTOR' PER OFFIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
y
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Raceiveci*
Phone Contact'for Permitting -.
Owner's Name If / Owner Phone NumbV 97 Z Z--7/
33-0
Owner's Address L- ,� Owner Phone Number
Fee Simple Titleholder Name P Owner';Phone Number
Fee Simple Titleholder Address
(� J 9 /
JOB ADDRESS G I d G.�U� Q- L., Z Ydt/�'� LOT#
j
SUBDIVISION PARCEL ID#
i - (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = DEMOLISH
R INSTALL REPAIR
PROPOSED USE Kal SFR 0 Comm = OTHER
TYPE=`OF CONSTRUCTION BLOCK Q FRAME L
DESCRIPTION OF WORK rn W J "V-e C_ -64A-0�'
.BUILDIPIG SIZE /v" SQ FOOTAGE[::::::::::� HE�IGHT
14
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
§ —
1_,^ELECTRICAL $ AMP SERVICE h� I /J� PROGRESS 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 I COMPANY
SIGNATURE REGISTERED Y-/ N FEE CURREN LILN
Address License,#
E
d i
ELECTRICIAN COMPANY L^rS[ CL. �� L � C
SIGNATURE �� REGISTERED Y/ N - EE CURREA Y/N.
i J /
'Address` � Z� it/ lei '� License# �rG ,�L '/-O
P.LUMBER.,.. COMPANY.
SIGNATURE REGISTERED 1(/'N ' FEE CURREN Y/N
Address License# .
.MECHANICAL COMPANY .
"`SIGNATURE`` REGISTERED Y:/ N. FEE CURREN Y/N
AddiMbs.,-° - License.-#
OTHER;': ;A_:_ COMPANY
SIGNATURg",,1 REGISTERED I.. Y/ N FEE CURREN
a Address .. - µ License# —�
RESIDENTIAL Attach',(g);PIofP.Iaris;=:(2)>sefs of Building Plans;(1)`set of Energy,Forms;R-O;W Permit,for new.construction;.
=.3;'..,: z r.r,;:;;.:-;,Minimum'rten_(10)workingjdaysafte�sutimit#al iiate.:Requiretl'onsite;Construction Plans,`Stormduater Plans w/Silt Fence Installed,.
°°:- � Sanitary,;Facititieis;&1�dumpster;SiteWorkµP..emtitfor,subdivis'ions/large?'pr_ojects;:- .' •'•• - • '-
COIWMERCIAL At�ach"(Z)complete sets of Butltling-Plans plus:a=Life Safety-Page•,-( }set-of'Energy Eom[ss_- q-W Permit Eoc n_ew cons!!_ n_ an. �_.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/SilfFence installed,.
-' Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
IGN-PERMIT Attach"(2)'sefs.;ofEngineered Plans.;:.:•:
PROPERTY SURVEY required for.all,NEW construction..
':Directions: , .. .- _s . .• .
Fill:out!application completely.
Owner,&Contractor-sign.back of application,notarized
if over,$2500,a Notfce.of Commencement is required. (AIC upgrades over$7500)
Agent(fortfie con iractor)•or;Power ofAttomey(for the owner)would fie someone with notarized letter from owner authorizing same
OVER`:THE;000NTER_-_PERMILTTING. _(copy.o_f-contract
`sReroofs,ifsFingles Sewers ~" Seivice;Upgrades;ALC ,,,;Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on publib`r adways..h,dd is ROW- `?
. ,,`,i i!;;(i�'• •ii a". - p
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NOTICE-OF DEED RESTRICTIONS: The.undersigned.understands;that.this;permit may,be.subject:to_".deedj{restrict�ons" .¢='
which may:=be,-'afore-.restrictive=than:'Cauntyxogulatlons . 6 exunde'rsigned�a'ssume`s:respons'ibil�ty�ifor compliance arv�th any "'
,
applicable;deed.restrictions.
UNLICENSED•_CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: -If-the -.h re&,;i•:�contractor:.or a
contractors to undertake work;they„may.;be,required;to be"lticensed in accordance-with state and_.local;regulations::�`Ifttl'e ri.=_1
contractor.is-not.licensed,as:'required by'law; both the owner�and`contractor may=be citeo for a misde$rrieanor violation
under state'law. if the owner°or.intended,contractor are'uncertain as to what licensing!requirements nay,a-ply;f6r.-. ;: '_1
.,:..H..e.:.. t
intended work,.they:are=advised to contact"the Fusco County Building lhto6dti6h�Diyisioii-Licensing Section at'727447 i
8009. -Furthermore, if the owner--has hired''rva'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"Elie owiier'sign;as_the `'
contractor., that maybe an indication-thaf he is'not properly licensed-and is not"entitled to permitting privileges.,in
County.
TRANSPORTATION-IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:-The undersigned 'understands j
that Transportation Impact Fees and Recourse Recovery Fees:may..apply to.the construction,of new.buildings,:cl tinge of"°~E
use in existing buildings,:or:,expansion of.existing buildings, as specified in Pasco County Ordinance number 89=
90-07, as amended. The undersigned also.understands'lthat such,fees; as-may,be.due. will tie identifiedat',tlaextiih,—,
permitting. ]t is further understood that Transportation Impact Fees and ResourcetRecavery. Fees must be paid prior to
receiving a."certificate.of occupancyn or final`.power release. if the.project does not involve.a certificate of occupaney'ot
final'power release;,the fees•must be,paid prior to permit issuance....Furtherrrtore, if Pasco County Water/Sewer•;Impact
fees are due,they must,be paid prior to permitissuance in accordance with°applicable Pasco'County ordinances. '
CONSTRUCTION'-L'ciEN=LAW(Chapter 713;'Florida Statutes,ass amended): If valuation of work is$2,5O.O.00.or'more,,I;,-.r
certify that 1, 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 describetl'document and promisein,good:fain`to,,,
deliver.it.to the:"towner"�phor-,ta commencement:
CONTRACTOR'S%OWNER'S AFFIDAVIT:..:,i:certify that all the information in this.application._is_accurate_and'that a'lluvork_.--
--
- -- - will—be—done iri compliance with all applicable laws regulating construction, zoning g and land-development. Application:is
hereby made to .obtain.,a, permit_to do, work-and installation,as-indicated. I certify that no work or�installat'ion';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 I i 1he jurisdiction. 'i f talso
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:iimited to:
Department of`Environmental Protection-Cypress Bayheads, Wetland Areas 'and Environmentalily Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Area's, Altering
Watercourses, i
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. P .
Federal-Aviation.Authority-Runways. }
1 understand that,the foll'owing'restrictioris 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 certifythat fill will be used only to fill the area within the-stem wall.
If fill material Is to be used in any area, 1 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 far 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-theperrnitting conditions '.set forth in
this affidavit prior rto 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, al,ter, or_
set aside any provisions of_the technical codes, nor-shall issuance of-a-permit-preventthe Building Official from-thereafter
requieing a correction of errors in plans,'-construction or violations of any codes. Every permit-issuedshall 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'i&commenced. An;extension' '
may be requested., in writing,,from the Buiiding Official for a period not to exceed ninety (00) 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: YOU FAILURE TO RECORD,,A..NOTICE OF COMMENCEMENT,MAY RESULT YOUR
PAYING TWICE'FOR,IMPR01/ NTS,40.YOUR.PROPERTY..iF YOU.INTEN O,OBTAIN•F ANCiNG,CONSULT
WiTH YDUk-LkNDER'G1R� ORNEY BEFORE.RECORDING Y_OUk! 1J_ E O
FIQRIDA JURAT{F.S.117.Q3 - j
I }
OWNER OR AGENT _ _ CONTRACTOR
Subscribed and sworn on-or of e )b re me this Subscribed and sworn t or affirm d)befare:me this,
by
Who is/are personalty known to me or has/have produced Who is/ar onally own to me or has/have produced !
as identification. as identification.
4 ,
Notary Public Notary Public
Commission No. ssIon o l
JACQUaJNE BOGES
Name of Notary typed,printed or stamped Name of No rEdmd►Istlsi#186457
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� Exp1�.s Dember 12,2022
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