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HomeMy WebLinkAbout19-21873 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 21873 ELECTRICAL PERMIT PERMIT INFORMATION -1504 10N WROKKAT1107W Permit#:21873 Issued: 10/08/2019 Address: 38203 8TH 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: 2,200.00 Total Fees: 55.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 55.00 Date Paid: 10/08/2019 Parcel Number: 11-26-21-0010-09800-0130 CONTRACTOR INFORMATION OWNER INFORMATION Name: MARTIN ELECTRIC Name: WATERMAN, LORI M. Addr: PO BOX 437 Address: 38203 8TH AVE DADE CITY, FL. 33525 ZEPHYRHILLS, FL. 33542 Phone: (352)521-3319 Lic: Phone: Work Desc: UPGRADE SERVICE TO 200AMP & INSTALL SMOKE DETECTOR CIRCUITS APPLICATION FEES ELECTRICAL FEE 55.00 INSPECTIQ*S RMARED 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.- Alg, x4dagI6 e CMTRACTOR r­ _PERNTr0­FFF19U)r PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECT106V 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 s' , Owner's Name I �_o'r I M, W Am t'VV14 Owner Phone Number Owner's Address 3'8 Zo3 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 38 2 03 , Y_ LOT# Q SUBDIVISION PARCEL ID# 1 > - i&^ Z 1—b o i IJ-CSC O to'c-S t 6 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN 0 = DEMOLISH INSTALL H REPAIR PROPOSED USE = SFR = COMM OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME 0 STEEL Q C DESCRIPTION OF WORKNsnO�`` . SQ, ,«L Z�r� I 'ra`� �t r�k _"1111\ C� BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ r�12 'AMP SERVICE . ERGY Q W.R.E.C. =PLUMBING =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY [-] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License# ELECTRICIAN COMPANYC- SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address Q•D•�� �, G License# Elc is OC)13 83 PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L Y/N Address License# 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&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)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 all new 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 (Front of Application Only) 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" rev�lrestrictions"' which may be more restrictive than County regulations. The.undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance,with.siate,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 has hired a contractor or contractors,' he is advised to have the contractors)'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 pfivileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 I 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 project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance.- Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW,(Phapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that 1, the 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'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'SIOWNER'S AFFIDAVIT:' I 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 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 Proteiction-Cypress Bayheads, Welland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill:- Use of fill is not allowed in Flood Zone"V"unless expressly permitted. If the fill rb,ateri6l is,to be-used in.,,Flood Zone "A", it is understood that* a. drainage. plan addressing a '" rrie compensating-volu " will'6e,subm itted at time of permitting which is prepared-ley 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 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. If use of fill is found to adversely affect adjacent,properties, 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, 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 condilioi.ing, 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 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 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 Qob is considered abandoned. --.._WARNING.TO OWNER: YOUR FAILURE TO.RECORD-A-NOTICE-zOF—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. FLORIDA JURAT(F,S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sw2o4o(or affirmed)before me this —by by Who is/are 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 No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped INSTR#2019172397'OR BK 9986 PG 3870 Page 1 Of 1 10/08/2019 03:16 PM Rcpt:2097869 Rec: 10.00 DS:0.00 IT:0.00 S'/H Nikki Alvarez-Sowles,Esq., Pasco County Clerk&Comptroller Permit No. ParcallONo i j 2b- 22- d010 OO�C3U - C)dZ0 �.�^^ I NOTICE OF COMMENCEMENT State Of 1'l 01-d4 County of PA!(.0 THE UNDERSIGNED hereby gives not Ice that improvement will be made to certain reel property,and in accordance with Chapter 713,Florida Statutes, the following information is provided In this Notice of Commencement 1. Description of Property: Parcel Identification No. /9- 2.(o- ti2 dy t C T fJ O G G 3 _ Oa 2 O Street Address: �/vlLs. Chakcw 2a4 Zutvrti111S, oz 3?Sy2 2. General Description ofImprovement ©totIneLld L 9�. l bt,;Icl � 3. Owner information or Lessee information If the Lessee contracted for the Improvement SokK R.ob V►8oh 240-y (�ei-'` ®/ 4c11-% �L Address city State Interest in Property: V W 13�r Name of Fee Simple Titleholder. (If different from Owner listed above) Address4. Contractor O Hh nc�' yc s ram• (�e., 5 �rcc.� T state Name 1 Z K/Z 54 r-L /4x 4-n v-,i a 1' �9 e - -• 7� Address City sta�® B Contractor's Telephone No.: • e 5. Surety. `•,, Name Address City - • 0 Amount o1 Bond: S Telephone No.: 1 8. Lender. Name Address City State Lender's Telephone No.: Y� 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by U Section 713.13(1)(a)(7),Florida Statutes: Z W (U) W i.t_ U) —p Name CJ C7 7)C) S U Z I— J Address City State �COS O - - N D- Telephone Number of Designated Person: j� !Lf W ~ 0- 6 (] 8. In addition to himself,the owner designates of O F= 0 O LL- to receive a copy of the Llenoes Notice as provided in Section 713.13(1)(b),Florida Statutes. U- W U Z = 00 ii aj Telephone Number of Person or Entity Designated by Owner. F— Or W U- Y 9. Moration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the 0 Q O Cr W contractor,but will be one year from the date of recording unless a different date Is specified): S U V Z J WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER.THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ® �W m 0 L U ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I. SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE O RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRSjJNePELTl0N. IF YOU W EM OBTAIN FINANCING,CONSULT ® � a, = Q WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMEND WORK OR RECORDING Y R NO OF COMMENCEMENT. 0 W 0 O } 0 Under penalty of perjury,I declare that I have read the foregoing no t the facts slated therein ape true to the best LIL. U U mr of my knowledge and belief. � O Z O \ STATE OF FLORIDA W Q J_" h W COUNTY OF PASCO Signatu or Lessee,or Ownees ee's ANh Q � u Ofii irector/P nedmanager H _ Z — m Signatory's TRIe/Of floe The foregoing instrument was aclmowledged before methis�dayof O,lrobu.2i)g,by lTovr7� as up (type of authority,e.g.,officer,trustee,attorney in fact)for yr, Sir yt'c c.) Sh-C (name of party on behalf of whom Instrument was executed). Personalty KnowryIgOR Produced Identification Q Notary Signatu`�71 Type of Identification Produced Name(Print) ��urrprp, DX VID KARTLICK =o` + ,,.State of Florida-Notefy Pub11c •= Commission#GG 131634 ' V My Commission Expires August o6.2021 mnn" - { 1. wpdawbcs/rmtic wnmencement_pc1153048 1