HomeMy WebLinkAbout19-21759 CITY OF ZEPHYRHILLS
5335-8th Street
' (813)780-0020 21759
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21759 Issued: 9/16/2019 Address: 6117 HARRIET ST
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: 2,200.00 Total Fees: 55.00 Subdivision: PINE CREST M.H.P.
Amount Paid: 55.00 Date Paid: 9/16/2019 Parcel Number: 03-26-21-210-00000-0330
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: PINECREST MHP-CLUBHOUSE
Addr: 39111 PATTI RD Address: 6043 HARRIET ST
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone: (813)782-6112
Work Desc: REPLACE SERIVCE POLE 100 AMP
APPLICATION FEES
ELECTRICAL FEE 55.00
INSPECTION EQUIR D
ROUGH ELECTRIC
CONSTRUCTION POLE l
PRE-METER
FINAL \ A
( 1
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.
6AA,PAIiJ ;9;0�g_ �;Xe4wq,
CONTRACTOR PERNTrOFfFl
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 AoceiVdd Phone Contact for Permitting —
LETT-117117717CE=21=13113113113:1=1 L ZI1CQ3.MMCq3 .............
Owner's Name 21 Q vtkl * ti` Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS l 17 r �• 5 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
e. INSTALL e REPAIR
PROPOSED USE 0 SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK `00 Aw S l—AC
BUILDING SIZE SQ FOOTAGE= HEIGHT.
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION '
[ELECTRICAL $ AMP SERVICE = DUKE ENERGY W.R:E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER v
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# 'n
ELECTRICIAN ` COMPANY �e C-e YC (lC.� �Q P� e (4" \
SIGNATURE I REGISTERED Y/ N_J FEE CURREN Ly/N Address �}�✓<<I 33SY�1 License# C �O/56
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/-N FEE CURREN Y/N
Address License#
OTHER COMPANY
a SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N
Address: License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0'-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 w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for alfriew projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"PROPERTY SURVEY required for all NEW construction.
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
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 RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance mr.11.i..,any..
applicable deed.restrictions.
UNLICENSED CONTRACTORS-AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to,undertake work, they maybe required to be licensed 1n 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 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 hag 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 and is not entitled to permitting privileges in Pasco
County. ,-
TRANSPORTATIOK 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 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 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.prdject does not-involve a certificate of ocbupa'n' c'y or
final power release, the fees must,be-paid prior,to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,Ahey must.be paid prior to:permit issuance-in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 71.3, Florida Statutes,-as-arnerided): If valuation of work'is$2,,500.00.or:more, I
certify that 1, the applicant, have been provided with a-copy of the uFlorida-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-described document and promise in-good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all 4he information.,in this-applicationis.acc turate.and that-all work,-
will be done in compliance with all applicable laws regulating construction, zoning and land 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 1W
Department of Environmental Protection-Cypress Bayheads, Wetiand Areas and,Environmentally Sensitive
Lands,WaterMastewater-Treatrrient.
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, Wastewater Treatment,
Septic Tanks.
- US Septic
Protection Agency-Apbestos abatement.
- Federal Aviation Authority-Runways.
I understandAhat'the.following:restrictions apply-to the use of fill:
Use.offill'is not allowed in Flood Zone-W"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 certify that fill will'bb used only to fill the-area within the-stem.wall.
If fill ma'terial is to be used in any area, I 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 mayte..cited for violating
the conditions of the building permit issued under-the attached permit application, for lots less than one (I)
acre which are elev6tedby 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 the permitting-conditions set forth in
this.;affidavit prior to.commencing construction. I understand that a separate permit may be required for electrical.work,
plumbing, signs, wells, pools, air conditioning,-,gas,-or, other instailatio'ns 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 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 is 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 IWYOUR
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 C , MENCEMENT.
FLORIDA JURAT(F.S. 117.03)
OWNEP,OR AGENT -CONTRACTO
Subscribed and sworn to(or affirmed)before me this Subscribed and;swoen afflrmed)!J&6re me this
)y by
Who is/ard personally known-to me or has/have produced Who lWare—personally known to me or-has/have-produced
as identification. as-identification;
Notary Public —Notary Public
Commission No. Commission,No..
Name of Notary typed,printed or stamped NamezofNotary typed,printed-or stamped