HomeMy WebLinkAbout19-20758 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 20758
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION.INFORMATION
Permit#:20758 Issued: 1/31/2019 Address: 6520 FT KING RD
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: OFFICE PROFESSIONAL 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: 1/31/2019 Parcel Number: 03-26-21-0000-01000-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DOUBLE M ELECTRIC Name: SUNRISE PROPERTIES OF ZH INC
Addr: 40410 RIVER RD Address: 6520 FT KING RD
DADE CITY, FL. 33525 ZEPHYRHILLS, FL. 33542
Phone: (813)713-3150 Lic: Phone:
Work Desc: REROUTE OUTSIDE LIGHT TO HOUSE PANEL
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
4�
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.
,/Aar /am/�/,
N OR PERIAM5M
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
.......... ...............IXM;310xIXlXMXlx=........
Owner's Name 5C174 f,"7 P Z_ Owner Phone Number
Owner Phone Number
Owners Address 611L,77TI
Owner Phone Number
JOB ADDRESS r T- LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK-PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
e INSTALL iREPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE.OF CONSTRUCTION Qp
BLOCK Q FRAME STEEL
DESCRIPTION.OF WORK /I alto cIrr5-
_J
BUILDING SIZE SQ FOOTAGE[ .....J HEIGHT.
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=IELECTRICAL 1$ AMP SERVICE DUKE ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE`AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LY-N
Address I . - License# L__j
4;2 ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LLLN J
Address 1 4 oo- 71n- License# F/--
PLUMBER COMPA NY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address Llcense#F_
MECHANICAL -COMPANY
SIGNATURE -REGISTERED Y/ N' FEE CURREN LaN J
Address F_ License#
OTHER COMPANY
SIGNATURE REGISTERED LY/ N FEE CURREN LYIN J
Address. License# F
—RESIDENTIAL Attdch(2)Plot�Plan's;(2)sets.of Bulldlri PS_;- _g7 pla '(1)set 6f.Energy.'Forms;:R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Con'structibn Plahs,Stdrmwater Plans w/Silt Fence installed,'
Sanitary Facilities&I 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 da"ys'eifter subrhlftal'dbte.-Required onsite,Construction Plans,Stormwater Plans w/Silt Fen-ce installed,
Sanitary Facilities&'1-clumppter.Site Work Permit forall new projects.All commercial,requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
IIiII4441111121 is 1;1 11iIIIIIIII III g 1 3 111 11-I I I I I I I-— 111 1111....
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--Attotn-ek-,(for tti66,w_bt)-would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING,
`'"Service U
ences;(Plot/Survey/Footage)if shingles ".Sewers
Driveways-Not over�b66iiie`1, on`public:ba 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 undersigned assumes responsibiliiylfor campliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. - If-the dwner•�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 maybe 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 Sectio In at 727-847-
8009. Furthermore, if the owner hasf: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 andis not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersignedi 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 und6rkood'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-.'!Furtherfhore, if Pasco County ater/Sewer Impact
fees,are due,they.muii.6e.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 1, lhe-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'"own6r, I ceitify,that-1 have obtained a copy of the above described document and promise in igood faith to
deliver it to the"owner"prior to commencement.
CONTRACT.OR!.SIQWNERIS-.AFFIDAVIT: .Iceirtify that all the information in this-application is accurate and�that all 'work
will be done in compliance'withali a,pp licable,I laws regulating construction, zoning and.4and 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 Bayh6ads, Wetland Areas and Environmentally Sensi6e
Lands,WaterMastewater.T- reatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & ,Rehabilitative Services/Environmental Health, Unit-Wells, Wasatewa-teli Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
1,understand that the following,rpptrictions 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 usiIg stem wall
constructioni'l certify_that 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. lf°use of fill is found to adversely affect adjacent properties, the owner may be citedifor violating
the conditions of the buildifig 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 to4nform the owner of the permitting-conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit maybe required for electrical ctrical 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 theJechnical codes, nor shall issuance of a permit prevent the Building Official fro I m 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 work1s,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
PAYING TWICE'FOWIMPROVEMENTSTO-YOUR PROPERTY; -IFYOU INTEND TO OBTAIN FINANCING�CONSULT
WITH YOUR LENDER OR AN ATTORNEY-BEFORE RECORDING YOURNOTICE OF COMMENCEMENT.
FLORIDA-JURAT(F.S.117.03)_
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Sub qnd S bo' (or affirmed).before q;(e this
T
-
Who Is/are personally known to me or has/have produced Who ls/ae��a known to me or has/have produced
as identification. as Identification.
Notary Public Notary Public
Commission No Co m pi ion
Name of Notary typed,printed or stamped Name of Notary te
Cammisston
DewmberlZ20n
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"Rol 80"W7019
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