HomeMy WebLinkAbout19-21826 CITY OF ZEPHYRHILLS f'�
5335-8th Street /
(813)780-0020 21 26
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21826 Issued: 10/02/2019 Address: 38615 LANSING AVE LT 43
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: 911.62 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: REPLACE POWER POLE
APPLICATION FEES
ELECTRICAL FEE 45.00
IN ECTIONS REQUIRFP
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 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
A .Phone Contact for Permitting —
Owne_r,'sWame Qyrner Phone Number
Owner,'s,Address" yl GZ Owner.Phone Number .C
Owner Phone Number
JOB ADDRESS 7� / � ..LOT#
i suBQyvlsiaN PARCEL'D'
(OBTAINED FROM,PROPERTY TAX NOTICE)
WORK P.ROP_OSED R NEW CONSTR 8 ADD/A T ] SIGN = = DEMOLISH
INSTALL EPAIR
PROPOSED USE' Q SFR = COMM Q -OTHER
TYPE OF"CONSTRUCTION Q BLOCK Q FRAME = STEEL
DESCRIPTION OF WORK i
777]
BUILDING,S►ZE SQFOOTAGE= HEIGHT
=BUILDING t T L_ VALUATION OF TOTAL CON�;ZEENERGY
T
AMP SERVICE
ELECTRICAL. $ - W.R
[� E.C.
y -
=PLUMBING 1$ �
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION :
=GAS = ROOFING = SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE:AREA =YES NO...
BUILDER COMPANY. '
SIGNATURE. REGISTERED Y/ N ' _`'FEE CURREN LLLLN
Address License# t
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CUR EN /N
Address �ZW ek t License# 000 4.24 q
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE ' REGISTERED:
EGISTERED Y/�N FEE CURREN > :.Y:/.N•
Address License.#,t"-
i
OTHER COMPANY.,;
Y- SIGNATURE REGISTERED' Y/`N .FEE CURREN LY/N:
Address- License#
RESIDENTIAL Attach(2);Plot•Plans;,(2)sets•af-Building'Plans;.(1)set of Energy Forms;,R=O-W;Permit.fornew-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)completesets.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 ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engirieered 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
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NOTICE OF,DEED The undersigned understands that this 'Permit '
which may be more restrictive than County rebulations. The undersigned assume� responsibility for compliance with any
applicable,deed,restrictions.
contractors-to undertake-- ' work,— they may be required to:~~ ~licensed ^' ~~`~~
r6nce 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
understatelaw. If the.owner orIntended contractor are uncertain,-as to wh'at licensin requirements,may apply-for the
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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 "corittactor Block" of this'application-for which they will be.responsible. Ifyou, 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.-
TRANSPORTATIONI.IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation,impact Fees and Recourse Recovery Fees may apply!to-ih e 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
-- _. _- ___-_ The.___-- ed-C Iso-understandsi-thaf such fees, as-may be-due, will,be..identifie'd�at the time,of
certifypermitting. It.isfurther understood that Transportation Impact Fees and Res,6urce Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release.. If the,project ddes'not involve a certificate of occupancy,or
final power release; the fees-must be paid.prior to permit issuance. 'Furthetmore, if-Pasco County Water/Sewer Impact
fees are duej1hey-must be paid-prior to.-permit issuance in accordancewith applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW,(Chapter 713, Florida Statutes,-asoarriended), If valuation.of work is$2;500.00 or more, I
certify that 1, the applicant, have been provided with a copy df-the "Florida Construction.Lien Law—Homeowner's
Protection Guide".prepared by the Florida Department of Agriculture and Consumer Affairs. If the.applicant4is someone
other than the"owner", I certify that-f-have obtained a copy of-the above described document and-promise in good faith to
deliver it to the"owner"priorto-commencement.. -accurate and that all Work
CONTRACTOR'SIOWNER�S-,A,FFIDA',VIT-,.. I certify-that all the information in this apolication.iis.
will be done in compliance with all applicable-laws regulating construction', zoning.and--land-development. Appi!cation is
hereby made to obtain a permit to do work and installation as'indicated.1 I certify that no work or installation'has
commenced-priorJo;-issuance:9f.,a:per Imit and..that all work will be performed to meet-standards of all laws regulating
construction, County and City codes,.-'zoning regulations, and liand"Idev6l'opment regulations in the jurisdiction.-. I..-also
- that ~ government agencies ' - . '
my responsibility to identify what actions I must take to be in compliance. Such agencies indlude-but are not limited
Department ofEnvironmental-Protection-Cypress Bayheads, Wetland Areas and-Environmentally Sensitive
Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Alteringr
Army Corps of Engineers-Seawall" Docks,"Navidable'
so
Department of Health & Rehabilitative SeKicd1Eh*dhment9I Health'Unit-Wells, Wastewater.Treatment,
Septic Tanks.
Federal Aviation Authority-Runways.
I under-stand.-thatthe*-following restrictions apply to.the use of,fill:,
Use°" ^� ",not allowed "' Flood.Z" = " "'"=°=expressly permitted.
If the ,fill material is to be used in Flood Zone "A", it is understood that a drainage plan-addressing a
.9comoensating-volume" will be submitted at time of permitting which is prepared..by..-a,.prof.essional engineer
licensed by the State of Florida.
If the fill-material is-to-be used-in Flood Zone "N"in-connection with a permitted building using stem.-wall
construction, I certify.that fill will biaused only to fill the area withinthe.stem wall. -
If fill material is to be used in any area, I certify that use of I 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)
this,,Igfrldavit:.Drior.to.-c.ommencing construction. I understand that a separate permit may be required for electrical 'work,
permit.is;ued_shalLbQ.qonstrwe1Ao..beA lice.n.;e to.�roceedbwitKithe work and not as authority to violate,-dancel, alter, or
pro i-I" ` of th&-techh1dal cod,6s�nor shall issuance;:of a permii prevent the Building Official from thereafter'-
set aside any vis ons 'es. Every,permit,issued-zhall-bocome invalid
requiring a correction ofeirrors iniLplans,construction or violations of-any cod
unless-the work authorized by sludhl;,potmit is commenced within six months!of permit issuance, or if work authorized,by
the:permit is suspended or abandonedfor aperiod-of-six(6)months after-the!-time-the-work is-commenced. An extension
may-be-requested, inwriting, from.the Building Official for a,period not to exceed ninety (90) days and will demonstrate-
cea ,days,the job is considered abandoned.
justifiable.cause for the extension. -If work ses.for ninety(90)consecutive.I
WARNING-TO OWNER: 'YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN'YOUR
PAYING 'TWICE FOR IMPROVEMENTS -_-__'OWNEKOR AGENT CONTRACTOR
Subscribed'and sworn to(or affirmed)before me this Subscdb.ed;and swory(tO'�xraffirmed),before.me:thig"'
Who is/ari
d Who is/are
ersola
or
have.produced
personally knowrr-tq-^asidentification. asidnodVnodon
Notary
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Publicpumm
'
Commission No. Commission No.
Nam
Name o Notary typed,printed~ stamped ~ ^ -----` ~'—'- ---stamped--
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CITY OF / / / BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
® • NOT REMOVE
ADDRESS ;_ r x� �, / DATE PERMITf
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made.be4 ore t
will be accepted.
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
Br other material,until the proper inspector has had ample time to approve 780-0020*F,ORIR&INSPECTION
the installation. 1,r
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR �{