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Home My WebLink About19-21620 CITY OF ZEPHYRHILLS "'� ;=•' 5335-8th Street (813)780-0020 21620 ELECTRICAL PERMIT 'ERMIT::INFORMATION LOCATION INFORMATION Permit#:21620 Issued: 8/12/2019 Address: 5449 12TH 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: Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 8/12/2019 Parcel Number: 11-26-21-0010-13800-00.80 CONTRACTOR INFORMATION OWNER'INFORMATION Name: CARLYLE ELECTRIC Name: POTWIN ANTHONY& CHARLENE DALE Addr: PO BOX 251 Address: 5549 12TH ST CRYSTAL SPRINGS, FL. 33524-0251 ZEPHYRHILLS, FL. 3542 Phone: Lic: Phone: (813)862-7305 Work Desc: INSTALLATION TEMP POLE FOR FIRE DAMAGE HOME APPLICATION FEES ELECTRICAL FEE 45.00 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. .011 CONTRWOR 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 T17rrrrrT7717rrT1:T= ......... ... ....... ...... Owner's Name Owner Phone Number -3- Owner's Address 15q4q AP V rA/JA I owner Phone Number Owner Phone Number iqqJOB ADDRESS p4 LOT# SUBDIVISION PARCEL ID#1 11-Z1,ZI -COIL)— I?-seco- C)nB p-- (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR 8ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE 0 SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK E:; FRAME 0 STEEL DESCRIPTION OF WORK V BUILDING SIZE SO FOOTAGE HEIGHT =BUILDING 1 VALUATION OF TOTAL CONSTRUCTION .A-n- FTqELECTRICAL AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 1 FLOOD ZONE AREA =YES NO BUILDER COMPANY I SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LY_LN� e-,o- Address License# e-l (2 13A�2- X/0 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHAP41CAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# F— RESIDENTIAL Attach(2j 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 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 wl 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. Pill, I'll 111"iiif Hiigliwil li 11 1 1 111"111111 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 I OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED The undersigned understands that this permit may be which may bo more restrictive than County ' u|ationo. The undersigned assumes responsibility for comp|'a";6 with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o 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 orinhended 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 at727-847- 8009. Furthmrmmna, if the owner has hired o contractor urcontractors, he is advised to have -the contractor(s) sign pmdkznm of the "contractor B|ooh^ of this application for which they will be responsible. If you, as the'oxvner sign as the contractor, that may beon indication that hm is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION KWVPACT/UTULKTKESIMPACT AND RESOURCE RECOVERY FEES: The undersigned underabanda that Transportation-Impact Fees and Recourse Recovery Fees may apply tothe construction mfnewbui|dinge. change of use in muiobn0 bui|dinge, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07. as amended. The undersigned also undmnytandm, that such fees, as may bedue, will be idantdDedad the time of pmnmi0§RD' /t 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 doeonot |nvo|vmo certificate of occupancy or final power release, the fees must bm paid prior bo permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must bm paid prior to permit issuance|n accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, FlorUda Statutes,-as amended): |f valuation of work is$2.5OO.0Oormore, | certify that |. the opp|icant, have been provided with m copy of the "Florida Consdruction [han Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant|o 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 itho the"oxvner"prior 1ocommencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work wNObmdone )noonnm|kancevvithaUeppUcob|m |avmsr*Qu|oUngcmnntruoUon, zohing and land development. Application is hereby made tm .obta|n o permit to do work and installation as indicated, | certify that no work or installation has commenced prior to issuance of permit and that all work will be performed to meet standards of all |amm regulating nonstruotion. County and City codes, zoning, pdevelopmentona. and land development regulations in the jurisdiction. | also om�� -tha |uodmrobandtha�thareQulotibns'ofn4berQnxmmmnnentogenoienmay-app|ytmthe-intended work, and thatjt,is- _ royresponmibi|itvboidentifvvxho{eutionoYnnuxtbahmtobmincornpUance. Such agencies inc/bde but are not limited to: ' Department of Environmental Protection-Cypress Bayhmods. Wetland Anaoa and Environmentally Sensitive Lands,VVatecMamhswoa@arTreatment. - Southwest Florida VVober Management Oistr|ot4WmUa, Cypress Boyhmada, VVat|ond Araao, Altering Watercourses. - Army Corps ofEnQ|neero-SeexvoUe. Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, VVaatexveber Treatment, Septic Tanks. - U8 Environmental Protection Agency-Asbestos abatement. � - Federal Aviation Authority-Runxvaye. | understand that the following restrictions apply to the use offill: ' - Use mf fill io 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 o drainage plan addressing a "compensating volume" will be submitted ot time of permitting which is prepared by professional engineer, licensed bvthe State ofFlorida. ' - |f the fill material is to be used in Flood Zone ^A" in cmnnmction with a permitted building using stem wall cer tifyfill v�U be used only hufiU the oreawithin the stem wall. - If fill material is to be used in any area, ) oadifv that use of such fill will not adversely affect mdimoert properties. If use of fill is found to adversely affect adjacent pnopert|mm, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots |enn than one (1} acre which are elevated bv fill, on engineered drainage plan iarequired. If| amnthe 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 o separate permit may be required for electrical work, plumbing, oigns, vveUs, poo|o, 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 She]| become invalid unless the work authorized by such permit is commenced within six months of permit imauonme, 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 maybe naquasbmd, in writing, from the Building Official for o period not toexceed ninety (80) dayo and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job,is considered abandoned. WARNINGTO'OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR _D�. FYOU INTEND TO OBTAIN FINANCING.CONSULT WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUI�_N0_'_T_1C__E'__0F C-0—M-M—EN—C-'E'M-E--N--T'."------ OWNER OR AGENT CONTRACTOR 4�� Subscribed and sworn to(or affirmed)before me this Subscribed and sworn tojaf affirmed)bddfora,�OIhii Who Islare 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 Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped