HomeMy WebLinkAbout19-21983 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 21983
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21983 Issued: 10/29/2019. Address: 6616 WIRE RD LOT 65
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: RV PARK Lot(s): 15 Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 455.81 Total Fees: 45.00 Subdivision: SLEEPY HOLLOW T.T.PK#2
Amount Paid: 45.00 Date Paid: .10/29/2019 Parcel Number: 02-26-2.1-0010-04500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: . SLEEPY HOLLOW MOBILE ESTATES IN
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-3319 Lic: Phone: 813-782-3319
Work Desc: INSTALL NEW POST & UNISTRUT SUPPORT 100 AMP
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
L �
REINSPECTION FEES:(c)With respect to Reinspection fe all comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amoobt 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.
L pdkl� Akg,
CONTRACTOR PER OFFI
_V 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
/0/P--�A Phone Contact for Permitting FA 73o-
I I I I-rTT=Owner's Name A11,16V 1006le e� Owner Phone Number
Owner's Address Le.4(1(, Owner Phone Number
A1,11s, gi xoy� _ Owner Phone Number
JOB ADDRESS A/i Ad, LOT#
SUBDIVISION PARCEL ID# OA 9 G —19 1— 10010— 0C/5-90 — 0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL
DESCRIPTION OF WORK A 1?e t,( (
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL AMP SERVICE a2f DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY c Ae�4 (vo Al
SIGNATURE REGISTERED lal N FEE CURREN Iff2l N Address License# F6 coo /02 h 4P
PLUMBER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN
Address —1 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED L_Y_LN_j FEE CURREN
Address 7 License
OTHER COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREN L_yj LNJ
Address License#
HHHHt HHHMHHHHH HHHH HHHHHHHH
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&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&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 (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,.tounty regulations. The undersigned assumes responsibility for compliance wit"r"'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 state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may jbe cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to whaf licensing.requiremeritls 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 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. .�
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,-or expansion,of existing,b.uildings, 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 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(Chapter 713, Florida Statutes,-as amended): If valuation of work is $2,500.00 or more, I
certify that I, 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. .I(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 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 Protection-Cypress Bayheads, Wetland 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 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
�I'icensed by the`State'of
if the fill material is to Florida'.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'16 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 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 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 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.
FLORIDA JURAT(F.S. 117.03) _ _ _ -- - -
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn (o affirmed) efore me this
by by
Who is/are personally known to me or has/have produced Who is/are personally Khown 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
9 %ma.t
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39111 Pattie Road
Zephyrhills, FL 33540
813-782-3319
sales@pattieelectric.com
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Sleepy Hollow MHP Sleepy Hollow MHP
38615 Lansing Avenue 6616 Wire Rd
Zephyrhills, FL 33541 Zephyrhills, FL 33542
813-782-1111 813-701-0657 JOE
Item Code DescriptionAmount
> 10/29/2019 TUE 8:17 AM> ROBERTO C:
Lot 113
Meter #: 2025858
Lot 65
Meter #: 6266089
Services share the post. Post needs to be replaced.with a concrete service post.
Installation of a new 4" x 4" x 8' concrete service post and unistrut support with
Duke Energy scheduled disconnect, a permit, and inspection: $911.62. If the
Building Department requires an individual permit for each meter, an additional
$180.00 will be added to the quoted price.
Price is Per Stated Quote 1.00 911.62 EA 911.62
Subtotal Total
911.62 $911.62
All material is guaranteed to be as specified. All work to be completed in a professional manner according to standard practices. Any alteration or
deviation from above specifications involving extra costs will be executed only upon written orders and will become an extra charge over and above
the estimate. All agreements contingent upon delays beyond our control. Purchaser agrees to pay all costs of collection,including attorney's fees.
Signature Date