HomeMy WebLinkAbout19-21623 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21623
ELECTRICAL PERMIT
-PERMIT INFORMATION LOCATION INFORMATION
Permit#:21623 Issued: 8/12/2019 Address: 38018 12TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,100.00 Total Fees: 50.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 8/12/2019 Parcel Number: 11-26-21-0010-06000-0180
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: COOK, JACKIE JR & BESSIE
Addr: PO BOX 862 Address: 38014 12TH AVE
ZEPHYRHILLS, FL. 33539-0862 ZEPHYRHILLS, FL. 33542
Phone: (813)788-0091 Lic: Phone: (813)838-2888
Work Desc: UPGRADE ELECTRICAL SERVICE
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPg9TIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL 6/
J
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
Building Department
Date Received Phone Contact for Permitting Rq --n q gg�
Owner's Name JC_� 1;9- t)C`k ' C—InEYk Owner Phone Number
�P_ I
Owner's Address Owner Phone Number
FL_ 326+-L- Owner Phone Number
JOB ADDRESS ?_Jq zelp})4(6d,6 R '6' 2)Sq L LOT#
SUBDIVISION PARCEL ID# "D — 0010 —lb(oCO 0 1120
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT F/5�_] SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL
DESCRIPTION OF WORK Igo 2h�C_d
BUILDING SIZE SCI FOOTAGE= HEIGHT C
oiiioisisw
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[]ELECTRICAL AMP SERVICE rV'l DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11 N J
Address License# I
ELECTRICIAN COMPANY R ",I:Ll
SIGNATURE REGISTERED IMN FEE CURREN N
Address PL License#PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License# F
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L.X/N
Address —1 License# I
HHHH! 111 11 HHHH HH if it Ht
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 w/Silt Fence installed,
Sanitary Facilities&I duMpsteri Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets 6f Building Plans plus alife 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,
HWHigiiiiiiiiii ....... ..... ............ 44:pm�
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/Foo'tage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED The undersigned understands that this permit may ba subject hm"dead^restrictions"
which may bm more restrictive than County regu|abono. The undersigned assumes rmmponmib||hvfor compliance vx�hany
app|�ebedeed roothoUmns. ` _
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired ocmntmsdoror
contractors to undertake work, they may be required to be licensed in accordance with stateand (oca| regu|$Uono. If the
contractor is not licensed an required by |avv both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. 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, aa the owner a' naothe
oontnaotor, that may be on indication that he is not property licensed and is not entitled Uo permitting phvUeQmo 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 bui|din8a, or expansion of existing buUdingo, as specified in Pasco County Ordinance number 89-07 and
9O-07. aoamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. /tis further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power no|mame. If the project does not involve o certificate of occupancy or
final power no|eaoa, the fees must be paid prior to permit issuance. Furthermono, if Pasco Counb/VVatar/Sovmar Impact
fees are due, they must be paid prior bo permit issuance in accordance WiUlapplicable PoocoCounh/mrdinanceo.
CONSTRUCTION LIEN LAW(Chapter71Floridaamended):
|f valuation of vvorkie$2.5O0.00or more, |
certify that |, the applicant, have been prmvidmd with a copy of the "Florida ConmbooUmn Limn 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 itbo the"mwner" prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | 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 mode to obtain a permit to do work and installation as indicated. | certify that no vm»rh or installation has
commenced prior to issuance of permit and that all mod« will be performed to meet standards of all |cwva regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | 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 ofEnvironmental Protection-Cypress Bayhemds, Wetland Areas and Environmentally Sensitive
Lands,VVahmnMamtevaaterTreatment.
- Southwest Florida Water Management Oietriot4WeUo, Cypress Bayhmado, VV«t|end Areas, Altering
Watercourses.
- Army Corps ofEnQineens-SeaxvaUa' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WmUs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Rbnvmsyn.
l understand that the following restrictions apply to the use offill:
- Use of fill ia not allowed in Flood Zone"\/" 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 o1 time of permitting which is pnopenad by professional engineer
licensed by the State ofFlorida. '
- If the fill material is to be used in Flood Zone ^A^ in �connection with a permitted buU ' using stem |
oonatnunbnn. |oed�vthotfiUv�Ubeunadon|yto5UUleereovithintha'���/xm�U�' * -' d~ ' ' ' wall
- If fill material is to be used in any area, I certify that use of such fill v�U not adversely offmot adjacent
properties. If use of fill is found to adversely affect adjacent pnoportims, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one M\
acre which are elevated by fill, on engineered drainage plan isrequired.
1f| omnthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior bo commencing construction. | understand that o separate permit may be required for electrical work,
p|unnbing, oiQna, vveUs, poo|o, air nondiboning, gom, 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, after, 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
un|emsthevvorkauthnrizedbysuchpmrmiti000mmenoodwithinmkomonthmmfpermitioouonce' orifvmzrkmuthorizedbv
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, /n vnht|ng, from the Building Official for a period not to exceed ninoh/(BO) 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 ORAN ATTORNEY BEFORE RECORDING YOUR-NOTICE-OF-COMMENCEMENT.-
----- --
-- —,"Ow°°^wmA, (r.S.
OWNER OR AGENT CONTRACT
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn t (or affin-nd'dj before me this
Who istare personally known to me or has/have produced Who istare personally known to me or has/have produced
as identification. as identification.
puWm Notary Public
Commission No. ' Commission No.