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HomeMy WebLinkAbout19-22151 CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 22151 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:22151 Issued: 12/10/2019 Address: 6152 17TH 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: 100.00 Total Fees: 45.00 Subdivision: PARK HILL Amount Paid: 45.00 Date Paid: 12/10/2019 Parcel Number: 02-26-21-0180-00000-0280 CONTRACTOR INFORMATION OWNER INFORMATION Name: HOMEOWNER Name: ELLISON APRYL Addr: Address: 6152 17TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: 808-494-9445 Work Desc: ADD ELECTRIC FOR A SHED APPLICATION FEES ELECTRICAL FEE 45.00 INSPE TIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER FINAL r 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. O PER OFFI P RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT X, o have read and fully understand and agree 4 the) provisions of this instrument. The undersigned- states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent. to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the building. S. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrbillo Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall -constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. S. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build o:%improve a one-family or two-family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. if you sell or lease a building you have built or substantially improved yourself within I year after the construction is complete, the law will Presume that you built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. it is your responsibility to make,sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for- supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by law. Your construction must mply With all applicable laws, ordinances, building codes, and zoning regal tional,� OWNEWS SIGNATURE DATE ADDRESS OtV 'Tr 7g, PHONE WITNESS PERMIT # 813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021 Building Department Date Received Phone Contact for Permitting Owner's Name G/(� 6 h Owner Phone Number. `/!-% �/ /57 Owner's Address (D f1 Sp2 Owner Phone Number `'Iti r /115 Owner Phone Number JOB ADDRESS r S� ✓' LOT# �� SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e „ .NEW CONSTR e ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE 0 - SFR Q COMM =. OTHER. TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL DESCRIPTION OF WORK e r 1 r 2 BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $� `- AMP SERVICE 0 - DUKE ENERGY 0 W.R.E.C. C/lJ e =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL:INSTALLATION =GAS = ROOFING 0. SPECIALTY = OTHER FINISHED-FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED I •Y/ N , FEE CURREN Y/N Address" Lice e# ELECTRICIAN �y lill f=f /S©d�J COMPANY . SIGNATURE JJ REGISTERED /'N FEE.CURRE� Y/N , Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License#. MECHANICAL COMPANY SIGNATURE REGISTERED 'Y/`N FEE CURREN Address License#.�- OTHER iCOMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License#-- RESIDENTIAL Attach•(2):Plot Plans;(2):sets of Building Plans;(1)set of.Energy Forms;R-O-W Permit-for-new new construction, Minimum ten(10)working days after submittal date.'Required onsite;Construction-Plans,Stormwater Plans W1 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-maybe subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for'corholiancW,.with arty 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 fora misdemeanor violation under state.law. If the owner or intended contractor are uncertain.as.to what licensing requirements:-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 theywill.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-newbuildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned:also understands,*thatsuch 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-$2,500.0&or_more, V 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. lUthe applicant,:is:someone other than the"owner";I certify-that I have obtained a copy of the above described document.and-prom ise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNEWS:AFFIDAVIT: I:certify.that.all.the information,in this•application is accurate.and..thaLall.-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.M' eet.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 not1imited 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 &-RehabilitativeServices/Environmental Health Unit:Wells, .Wastewater Treatment, Septic Tanks. - US Environmental'ProtectionfAgency-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 byaprofessional engineer licensed by the State of Florida. If the:fill,material-is,to-be.used-,in.-Flood Zone "A" in connection with a permitted'buildirig:,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 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 electricalwork, 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 1RESULT INYOUR PAYING TWICE FOR;IMPROVEMENTS TO YOUR'PROPERTY. 1F YOU:INTEND TO OBTAIN FINANCING;CONSULT WITH`YOUR:LENDER>OR'AN ATTORNEY BEFORE-RECORDINGWOUR:'NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR'AGENT ^ 'CONTRACTOR' Subscribe and savor r a )-before me-this Subscribed and�swo to. ffirm )b ore-me'this _ by �p�' �—�—by Who' /ire p q 'a o /have produced Who is/ ers II n ve produced C as!den ti on. aside ' cation. Notary Public Notary Public - Commission No. Commission I Name of Notary lyped,printed or stamped Name of No ry ty nted or sta ped CAR S ONADO :��''p+ ;•; CARLOS MALDONADO '• mission#GG 346275 ry5......, o• N: �= Commission#GG 346275 ° Expires June 18,2023 '�r Po=Expires June 16,2023 '.F?F F c°P' Bonded Thru Troy Fein insurance 800.385-7019 Fov F`°•' Bonded Thru Troy Fain Insurance 8o0.38woo