HomeMy WebLinkAbout19-21884 i
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21884
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21884 Issued: 10/11/2019 Address: 5925 9TH ST
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: 500.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 10/11/2019 Parcel Number: 11-26-21-0010-00700-0110
. CONTRACTOR INFORMATION OWNER INFORMATION
Name: JAMES 0 MORTON ELECTRIC CO.,INC. Name: JOHNSON LAWRENCE & NUGIN PIRET
Addr: PO BOX 1537 1055 GEIGER RD. Address: 5925 9TH ST
ZEPHYRHILLS, FL. 33539-1537 - ZEPHYRHILLS, FL. 33542-3530
Phone: (813)782-7237 Lic: ER 0002443 Phone: (813)440-1866
Work Desc: INSTALL A SERVICE DISCONNECT FOR MINI SPLIT A/C UNIT 220 AMPS
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED'
ROUGH ELECTRIC
CONSTRUCTION POLE G'
PRE-METER
FINAL /( 1
/J 1
C
REINSPECTION FEES:(c)With respect to Reinspection fees ill 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
Owner's Name JORkno/o Owner Phone Number
Owner's Address Owner Phone Number
C�==rrT� c . • 5��' Owner Phone Number
JOB ADDRESS LOT
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL
o
DESCRIPTION OF WORK 40/a- A(IAII taldlk
BUILDING SIZE SQ FOOTAGE= HEIGHT L
...........
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
[S� ELECTRICAL $1 AMP SERVICE DUKE ENERGY W.R.E.C.6—ex
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO
Hs I!H N i i i i i i i m Reffm i i i i I Hill i I!III i i i i i im N N i ii i i i i i i i ii i ii i i iitimiii H ii a
BUILDER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
_J
ELECTRICIAN COMPANYREGISTERED FEE CURREN L11 SIGNATURE IWO _N
Address GJ YL License#
PLUMBER COMPANY
SIGNATURE REGISTERED LILL_j FEE CURREN
Address License# F—
MECHANICAL COMPANY
SIGNATURE I REGISTERED I Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 7771 License# I
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 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&I 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.
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)
Re,roofs if shingles Sewers ---Service Upgrades. A/C., Fences(Plot/Survey/Footage)
Driveways-Not.over Counter If on public rroadways..ne,eds ROW
NOTICE OF DEED The undersigned understands that this permit may be subject to"deed"
restrictions"
vvhiuhmay ba more rem�icUvethan County 'u|aUono. The undersigned assumes raopunoibi| � �
���nmp|��nma~ t`"� y
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 state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for o misdemeanor violation
under state |ovv. If the owner or intended contractor are uncertain as to what licensing poqu|nennmnto may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Fmrthmrmona, if the owner has hired a contractor or oontnycboro, 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
contnactor, that may baan indication that he is not properly licensed and in not entitled to permitting prk/i|eQmo 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 buildings, expansion of existing bui|dinge, as specified in Pasco County Ordinance number 89-07 and
00-07. as amended. The undersigned also undmrobandm, that such fees, as maybe due, will be identified at the time of
permitting. |tio further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o ^certdDooh* of occupancy" or final power release. If the project does not involve o certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVmder/Sevver Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, asammendmd):. |f valuation of work io $2.6DD.00or more, |
certify that [ the app|iomnt, have been provided with o copy ofthe "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"mwnmr"prior hzcommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
wiUbedoneinommp|ionomwithaUapp|icob|e |evxonegu|atinguonstruobon. mohingand |anddave|opmnent. Application is
hereby mode to obtain a permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvo 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 1,must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheods, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVabor Management District-Wells, Cypress Bayhmadn. VVaUond /\peom. Altering
Watercourses.
' Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit4WeUm, Wastewater Treatment,
Septic Tanks.
- U@ Environmental Protection Agency-Asbestos abatement,
- Federal Aviation Authority+F|unvxoyg.
| understand that the-following restrictions apply to the use offill: '
' Use of-fill ignot allowed in Flood Zone''\p unless expressly permitted.
- |f the fill moheho( is to be used in Flood Zone ^A"' it is understood that a drainage plan addressing u
.,compensating volume" will be submitted at time of permitting which in prepared 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 building using stem vvoU
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, | certify that use of such 0| will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent pnopedimo, the owner may be cited for v|n|aUnQ
the conditions of the building permit issued under the attached permit application, for lots |aao than one (1)
acre which are elevated by fill, an engineered drainage plan iarequired.
If| omthe 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 be required for electrical wmrk,
plumbing, aigns, wells, poo|n, air conditioning, gao, or other installations not specifically included in the application. /\
permit issued shall be construed to be a license to pnmoaad with the work and not as authority toviolate, cmnno[ alter, or
set aside any provisions of the technical codme, nor shall issuance of 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 insuonoe, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work incommenced. An extension
maybe requmohed, in writing, from the Building Official for period not to mVoaed ninety (gO) 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 INTENRTO OBTAIN FJNANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR ACt OFCOMMtACEMENT.
---'
OWNER OR AGENT
by W11
Who is/are personally known*4o me or has/have produced Whojpp' pery7aty known fo.me or has_/have p�oduced
as identification. as identification.
Subscribed and swom to(or affirmed)before me this S.ubscribedan orn to:�( 'T rmed)i3e e.metbis
Notary Public Notary Public
Commission No. Commisslo NO.