HomeMy WebLinkAbout19-21695 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21695
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21695 Issued: 8/30/2019 Address: 38351 12TH AVE
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: 200.00 Total Fees: 45-00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 8/30/2019 Parcel Number: 11-26-21-0010-03500-0080
CONTRACTOR INFORMATION OWNER INFORMATION
Name: REESE ELECTRICAL INC Name: JANINE PROPERTIES INC
Addr: PO BOX 862 Address: 5642 OAKLEY BLVD
ZEPHYRHILLS, FL. 33539-0862 WESLEY CHAPEL, FL 33544-5304
Phone: (813)788-0091 Lic: Phone:
Work Desc: ELECTRICAL SAFETY INSPECTION
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
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.
tA VL,-,
CONTRACTOR PER OFF19qr—
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO(j/
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 Receivc2
TT71_rrT317rrrT7'r= Phone Contact for Permitting .........
Owner's Name e— f'(-b Tles Owner Phone Number
Owner's Address F_5(,14-2, Oakw, i!,,118 Owner Phone Number
W +L 2)j,544-1 Owner Phone Number
JOB ADDRESS 1 IAve^u,,e_ FL, LOT#
SUBDIVISION PARCEL ID#F11 0-C)3500 — 001S 0
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK IYIS 2 p (;r17-CJ[ py-okc_L_V1,;n
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
EAELECTRICAL AMP SERVICE F—Y-1 DUKE ENERGY Q W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREN L_y LN_J
Address • License#
Pf�
ELECTRICIAN COMPANY 2D e-CJ --In C_
SIGNATURE -<\�A REGISTERED Y N FEE CURREN L�,�N
r
Address toy-Dal_zp�)4(�Ilk2 License# FEE-i
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN_j
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L)2 N
Address I License#
HHHH! I I I I I I I I I I I 1 1 111 1111111111 HH 1 111 H H 1!!!1111111 H Hit H j!111114
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 wl Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete-sets of"B6 Qdin,g.Plans plus alife Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after subftiftlal 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.
=
4 I I i I s I W44;i I i I I i i i 14444 ................11111111 1,111 111 111111 11111 1;;;; 11;;1;1 111;111 p4xw
D CtIT 0 :
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 PERM ITTI NG,,..,. (qqpy.of:
contract.requited)
Reroofs if shingles Sewers .'.�,.-,Servi g
Up rades,A/C.-, Fences(PlottSurveylFoo'tage)
i "Driveways-Not over dounter'ifi,on•publlcroadways;'.needs'ROW
NOTICE OF DEEDR : The undersigned undoratondmthat this permit may be subject to"deed"restrictions"
which may ba more restrictive than County regulations. The undersigned assumes responsibilitylorconlp|
mpp�ob�deed raa�k�kons. '
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 (ovv both the owner and contractor may be cited for o misdemeanor violation
under state |oxv. If the owner or intended contractor are uncertain as to what-licensing.requirements may,apply for the
intended work, they are advised hV contact the Pasco County Building Inspection D' `oioh--Liomna|ngBocUonat727-847-
8OOQ. Fudherrnore, if the owner has hired a contractor or contnyctony, he is advised to-have the contractor(s) sign
portions of the "contractor B|woh' of this application for which they will be responsible. If you, as the owner sign' 'o the
oontnaotor, that may boan indication that he is not properly licensed and is not entitled to permitting privileges in p0000
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Faao and Recourse Recovery Fmma may apply to the construction of new'
bui|dinQa, change of
use in existing bui/dingo, or expansion ofenis�inQ buUd|�Qs, as specified in Pasco County [��/ina me nunnber89-O7 and
80-07. 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 ^oert0ooba of occupancy" or final power na|eoee. If the project does not involve o certificate of occupancy or
final power ne|emme, the fees must be paid prior to permit issuance. Furthermore, if Pasco Cnunb/VVober/Sevmar Impact
fees are due, they must ba paid prior bm permit issuance|n accordance with applicable PesooCounb/und|nancem.
CONSTRUCTION LIEN LAW(Chapter 713, FUorUda Statutes, asemnended): |fwa|ueUonof work io$2.GOO.ODor more, |
certify that |, the applicant, have been provided with o` oopy of the "Florida Construction.Umn Law—Homeowner's
Prohec�ion (3uide" prepared by the F|oddmOepo�mentofAorinuU (�une �ndonounlarAfairo. �the applicant kesomeone
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^owner"prior bocommencement.
CONTRACTOR'S/OWN ER"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 o permit to do mmrh and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and lhmt all work will be performed to meat standards of all laws regulatingC�construction, County and City codes, zoning regulations, and land development regulations in -the jurisdiction. | also
certify that | 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'ona not limited to:
- Department ofEnvironmental Protection-Cypress 8eyhemdo, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVobor Management District-Wells, Cypress Bayheado, VVed|ond Areae, Altering
Watercourses.
- Army Corps ofEn0|neero-0eawaUs. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVmUs, Wastewater Treatment,
Septic Tanks.
- 'US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authnhty+Runmaym.
1 understand that the following restrictions apply tothe use offill:
' Use of fill io not allowed in Flood Zone^V"unless expressly permitted.
- If the fill mebahe| is to be used in Flood Zone ^A", it is understood that e drainage plan addressing o
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State of Florida. _
- |f the fill material is to be used in F|ood'Zmne ^A" in connection with permitted hui|dih0-uoi� wall
stem �wall/ / '
construction, |oe��v that fiUv�U be used only tofiU the area vvith|nthe ab*mAv��U/� �/�./``', ''`�'- _�' ' '
- If fill 1 ma he to be used in any area, | oadU� that use of such fill will not adverao|y affect adjacent
properties. If use of fill is found to adversely affect adjacent ppmpedias, 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, on engineered drainage plan iarequired.
If Iomnthe 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 ba required for electrical mmrk,
plumbing, oigns, xvaUa, pools, air conditioning, Bom' 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 mix months of permit immuonme, or if work authorized by
the permit io suspended mr abandoned for a period ofsix(6) months after the time the work |mcommenced. An extension
may be requested, in mriting, from the Building Official for period not to mwcmod ninahy(@O) 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER OR AGENT
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn f&(oi affirmed)before me this
Who istare personally known to me or has/have produced Vftls/arQ!!�na�llnown to me or has/have produced
asidentification. as identification.
man/PuWm ig6l Notary Public
Commission No. O on N
Jacqueline Boges
From: Jacqueline Boges
Sent: Thursday, September 5, 2019 11:59 AM
To: Duke Energy(floridamunicipalities@duke-energy.com)
Subject: request power release
Hello
Jackie here in the City of Zephyrhills requesting power release from safety inspection by#21695 38351121h ave .
Acknowledgment of this email will be indication that the release was given and become part of the permit file.
Thank you
i
Jackie Boges
813-780-0020 ext3513
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Himself we have."Dwight L. Moody
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