HomeMy WebLinkAbout19-21825 CITY OF ZEPHYRHILLS
5335-8th Street 825
(813)780-0020
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21825 Issued: 10/02/2019 Address: 38615 LANSING AVE LT 55
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.- 460.07 Total Fees: 45.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 45.00 Date Paid: 10/02/2019 Parcel Number: 02-26-21-0260-00000-1200
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: SLEEPY HOLLOW M ESTATES INC
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS,FL 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPAIR METER SOCKET
APPLICATION FEES
ELECTRICAL FEE 45.00
PP,
INSPECTIONS ROQUIRED
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.
CONTRACTOR PER OFF[PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO6/
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 �� Owner^Phone Number
Owner's;Address 64iLe, Owner Phone Number .
Owner Phone-Number
JOB ADDRESS �Ja�I 5 �I /d 55 r ! I LOT# -�
SUBDIVISION PARCEL'„ID# 02` _a- -40
(OBTAINED FROM PROPERTY TAX NOTICE) -
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL 8 REPAIR
'PROPOSED USE ' Q SFR 0 COMM = OTHER
TYPE OP ONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION:OF WORK {� r
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTIO
ELECTRICAL $ p AMP SERVICE ,i DUKE ENERGY Q KRsE C.
/ U
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
v
=GAS = ROOFING 0 SPECIALTY = OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO.,..
BUILDER COMPANY
SIGNATURE , REGISTERED Y/'N.- .•.`FEE'CURRES
Address C License#
ELECTRICIAN COMPANY
SIGNATURE /l REGISTERED', Y/ N FEE CURREN Y/N
Address lG / License# 'L �2
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREV Y'/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/'N' FEE CURREI%� Y,/,N.
Address License.#. .
OTHER COMPANY
i SIGNATURE REGISTERED Y/ N, FEE CURREN
9
Address Licens #e;
RESIDENTIAL Attach:(2):Plot Pl- nft,;(2)sets,of:Building Plans;(1.)set of Energy Forms;.W'O-W..Perm it,for new construction,:;
Minimum ten 00)working days aftersutimittal date. Required onsite,Construction Plans,.Stormwater Plansw/•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 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. (AIC 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"
I y &
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 I s hired a contractor or
contractors-to undertake-work, they may be required to be licensed-in accordance,with stat&and local-regulations..Jfthe
contractor is not licensed as required by law, both the owner and contractor Imay be cited a mis'de meanor violation
under state law. If the owner or-intended contractor are uncertain-as to %Aihat'licensingl.-,r,equireme,nts.may-apply.for.the
intended work, they are advised to contact the Pasco County.Building lftpection'Divisi6n�' Licensing Section at 727-847-
8009. - Furthermore, if the owner has hired--a contractor or contractors, hel 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 (ot entitled to permitting privileges in Pasco
County.
TRANSPORTATION4.IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may-apply10 the construction of-new buildings, change of
use Jn existing buildings, or expansion of existing buildings,-as specified in Pasco County Ordinance number 89-07 and
90-07, as,amended.- Th.e..,iind6rsioned-;also.understandsi that,such fees, as-may be-due,.will,be identified-at the titne.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 not1nvolve a certificate of occupancy or
I
final power-release, the fees:must be paid.prior to permit issuance. 'Furthermore, if-Pasco County Water/Sewer Impact
fees are dueAhey must be paid-prior to permit I' applicable Pasco County ordinances.
issuance in accordance,with,ali nt
I . y
CONSTRUCTION-LIEN LAWIChapter 713, Florida Statutes,-a%iamended). If valuation.of work-is$2-500.00.or more, I
certify that 1, the 'applicant, have been provided with a -copy-of--the °Flohda Construction- Lien Ea;—Homeo'wner's
Protection Guide"-,.prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant,is.someone
other than the"owner", I certify that-1 have obtained a copy'of--the above described-documentr and-promise in.good faith to
deliver it to the"owner"prior to-commencement
CONTR.ACTOR!S�/OWNER?,S-.-A,FFIDA,V-IT:. I certify that.all,the information-in!this apolicationils accurate and thatall work
will be done in compliance with all applicable laws regulating construction, zoning-and lind-develop'ment. Application is
hereby made to obtain a permit to do work and installation as indicated; I certify that no work or installation*has
commenced.prior-to it and that all work will be performed to meet standards of all laws regulating
codes; regulations, and land -develop
construction, County and Citio6
, , 'development regulations in the jurisdiction. 'I.:also
certify that I understand that the regulations of.other government agencies may-apply-to-the intended "work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies indlude'but are not limited to:
Department of Environmental Protection-Cypress Bay4eads, Wetland Areas and-Environmentally Sensitive
Lands,Water/Wastewater..-Ti-tegtm,4n't.:
Southwest Florida Water -Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawall's,,'Docks,'Navi'gable""W�!aie'rway's.
Department of Health & Rehabilitative SeKidiE4/8fiv4dri m ent9l Health Unit-Wells, Wastewater-Treatment,
Septic Tanks.
US Environmental Protection Agdncy= .$be816s:abat6m6nt.`
Federal Aviation Authoriiy-R6nways.
I understand 4hat:the.following_restrictions apply-to the use of fill:,
Use offill"is not allowed in Flood Zone%'V"unlets 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 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.attache6 permit application, for lots less than one (1)
'acre whlch'are 6lev.6tdd.,by-fill',-.-an.:6ngih6ered draihagg.--plarl'is required.
If I amrthe--AGENT--'F6k--THEI-OWkER, I pi6iiilie' in.nood.'fiithito..,Inform,-the.owner of the permifting..conditions,set.f6rth*ln
this affidavit prior-to.-commencing construction. I understand that a sei;arake permit may be required for electrical' work,
plug blfid,, signs,"wdlls;''066191 air-conditioning-,-gas;-or, other Insiafiaiti6hi,hot-specifically-included in the-application. A
permit.issued_shall,..be.qons.trueflo._bpp license to.proceed-.with.,,the work and not as authority to violate, cancel, alter, or
set aside any provisions.of thete0hidal codes,,.nor.shall issuance.-of a permit prevent the Building Official from thereafter
requiring a correction n of"errors implans, 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 li'APROVEMENTST61YOURPROPERTY: IF YOU,INTEND TO-OBTAKFINANCINGz CONSULT
QQ
--WITH.-YOUR-LENDER--iDR,'-AN:�ATTORNEY-B Y EFORE RECORDINGOUk-NOTICE OF MWENCEMENT_FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR i'
Subscribed and sworn to(or affirmed)before me this Subscribed-and worrtO( -.-affirmed), re,me-this
by y
Who is/are personally known-tome or has/have produced Who is/are personal own to me-or has/have;produced
as identification. as identification.
Notary Public —NotariPublic
Commission No. commission No.
Name of Notary typed,printed or stamped Name of Notary typed,"printed or stamped