HomeMy WebLinkAbout19-21827 CITY OF ZEPHYRHILLS
5335-8th Street 218
(813)780-0020
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION'
Permit#:21827 . Issued: 10/02/2019 Address: 38615 LANSING AVE LT 107
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: 559.81 Total Fees: 45.00 Subdivision: SLEEPY HOLLOW MHSUB DI
Amount Paid: 45.00 Date Paid: 10/02/2019 Parcel Number: 02-26-21-0260-0000-1200
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: SLEEPY HOLLOW M ESTATE INC
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL 33542
Phone: (813)782-3319 Lic: Phone:
Work Desc: REPAIR SERVICE
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER Z'y���
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.
CONTIkACTOR PER OFF19tyZ
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 —
Owner's, �QQ ` ® Owner Phone Number
Owner,'s:Address 06 Ttle Owner.Phone Number
Owner Phone Number
JOB ADDRESS U � 67 I^ . LOT# la7
SUBDIVISION PARCEL',ID# OoZ%� �� tel: v-/2�
(OBTAINED FROM,PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL e,. REPAIR
PROPOSED USE` = SFR = Comm = OTHER
TYPE OPCONSTRUCTION = BLOCKL _ . FRAME Q STEEL. 0
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE=, HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ L� AMP SERVICE av DUKE ENERGY 0 W:RE:C,
=PLUMBING $
=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
Address License#
ELECTRICIAN COMPANY �
�G
SIGNATURE REGISTERED' Y/ N FEE CURREN Y/N
Address 7 tJ License# 4woav
PLUMBER [7-7— COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LI N"".
Address License#,
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/,N' "FEECURRES cY;/.N. .
Address License.#:F.
OTHER COMPANY:;
. SIGNATURE REGISTERED' Y/.N FEE,CURREN.
Address License#
RESIDENTIAL Attach.(2)Plot.Plans;(2)sets•ofBuilding!Plans,(1)set of Energy-Forms;:R-'O=W.;Pemiit;fornewconstiuction,.
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)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 County regulations. The undersigned assumes responsibility for compliance with any
applicable*deed.restrictions....
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSISILITI'E'S:'� If-the'owner'ha"i hirod'a coenttactcf 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 i may be-'cited for a misdemeanor violation
under state-law. If the owner or intended contractor are uncertain-as to what licensing,requlrements may-apply for.the
intended work, they are advised to contact the Pasco County'Building Iris iction Division-
oe , ."Licensirin 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 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.
TRANSPORTATIONJMPACTIUTILITIES 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, asamended. The,undersighed,also:understandsi--that such fees, as-r1nay be-due, will,beldentifi6d 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:.profiect d6es'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 priorto permit issuance in accordance with applicable Pasco County ordinances. -
CONSTRUCTION.LIEN LAW(Chapter 713, Florida Statutes,-as,,larnended): If valuation of work is$2;5,00.00 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.applicanttis someone
other than the"owner", I certify that I-have obtained a copy bf-the above described document and.promise in good faith to
deliver it to the"owner"prior to,commencement,. .. i ,
CONTRACTOR!SIOWNER!.S,,,AFFIDA-V,IT:.I certify. ,that.all;the information-in'this,application 4s; accurate and that-all work
will be done in compliance with all applicable laws regulating construction, zoning and larld-develoOment. Application is
hereby made to obtain a permit to do work and installation as indicated'. I certify that
at no work or installation,has
commenced-prior,to ilssuance.,of_a,:permit and..that all work will be performed to meet standards of all laws regulating
-
construction, County-and Citill Codes,' zoning regulations, and land"development regulations in the jurisdiction. 1:91so
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,WaterMastewater�TtiBeitm,6nt..
Southwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Altering.
Watercourses.
Army Corps of Engineers-Seawalls,' D ocks,'Navidable'''Wii6rwa4s.
Department of Health & Rehabilitative Sbri_'Videwnvironment6l Health Unit-Wells, Wastewater.-,Treatment,
Septic Tanks.
US Environmental Proteption:Agdhdy-Asoe'tt6s.abeittrftOht.
Federal Aviation Authority-k6riways.
I understand-that the:following-restrictions-apply to.the use of-fill-
Use of fill: 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_ls 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 b6-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 underthe-attach�attached permit application, for lots less than one (1)
'acre which,are elev.i3tdd byfill-,',-an-,6ngihiDered draiha66.plamis required.
If I am'tthe-AGENT-'.'F.OR-�THE.:OWNER, I prio"Hie'In.good-f6ith,.to::inform-_-'t1he-owner of-the permitting-Conditions setf6rth"in
.9 *
this�affidavit:_prior.to-commencing construction. I understand that a separate permit may be required for electrical. work,
plum'bihg:,-' sign§,"'wdllspools,
-06[g, 'clit,conditioning,--.gasl,*,or,,other Installations-not-specifically„-included in the.application. A
permit.issued.shalt.be-ponstrued.to be a license to.procee&with,-ithe work i and not as authority to violate,-cancel, alter, or
set aside any pr6v,@.din"s.of the technical codes,l.nor,shall issuance;.of a permit prevent the Building Official from thereafter
requiring acorrection of*rors in,'Plans,construction or violations of-any codes. ''Every permit,issued:shall-become invalid
unless the work authorized by such-'potmit 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-timethe-work-is commenced. ,An extension
may-be requested, in writing, from the Building Official fora-,period not to exceed ninety (90) days and will demonstrate
justifiable,cause for-the extension. if work ceases.f6r ninety(90)consecutive days, the job is considered abandoned.
V LTT_8OUK__
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT,MAYRESULT N
PAYING TWICE FiOR:IMPROVEMENTS TO�YOURT_116PERTY. IF YOU'INTEND TO,OBTAIREINANCING, CONSULT.
WITH YOUR LENDER dk:,AN�ATTORNEY BEFORE-'RECORDINQ YOUR-NOTICE OF MMMENCEMENT.
FLORIDA JURAT(F.S.117.03)-
OWNER,OR-AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and:s0 (or affirm
or affirmed),befbre,me,this
J)y by i
Who is/are personally knowry-t%me or has/have produced Who is/are person known to rrn�e or,haslhave:produced
as identification. -as identification.
Notary Public Notary Public
Commission No. Commission No.
-
Name of Notary typed,printed or stamped Notary,t Name yped,printed or stamped
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