HomeMy WebLinkAbout19-22157 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22157
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22157 Issued: 12/10/2019 Address: 39118 5TH AVE
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: 6,933.70 Total Fees: 75.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 75.00 Date Paid: 12/10/2019 Parcel Number: 12-26-21-0030-00300-0080
CONTRACTOR INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: BEST RESULT OF FLORIDA INC
Addr: 39111 PATTI RD Address: 6224 ORAN ST
ZEPHYRHILLS, FL. 33540 TAMPA, FL 33610
Phone: (813)782-3319 Lic: Phone:
Work Desc: INSTALL 200 AMP OVERHEAD SERVICE
APPLICATION FEES
ELECTRICAL FEE 75.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL M1 n
)o
REINSPECTION FEES:(c)With respect to Reinspection s will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the aAhount 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.
%7
CONTRACTOR PERIAM 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-81 3-780-0021
Building Department
Date Received Phone Contact for Permitting 7F,2
...... ........ ... ................ .......I Min rrr=
10, 1
Owner's Name A�nt KQ # AC Owner Phone Number
Owner's Address 6OU-21 Owner Phone Number
xn/o Owner Phone Number
JOB ADDRESS PIN 5_4 Amle_14 ZeAmlilli-4 A LOT#
I f
SUBDIVISION & ill s PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRR ADD/ALT SIGN DEMOLISH
a INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK ns Il ap 'IV at/ked S-elvlee
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
[]Z'ELECTRICAL 1$ . 70 AMP SERVICE DUKE ENERGY W.R.E.C.
E2<
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
1 111 B 1 1 1 N 1 1 a 2 1 1 1 1 1 i 1 R 1 1 1 F 1 1 1 1 1 N 1 11 1 1 1 a 1 11 1 1 1 11 1 1 N 1 a 1 1 1
BUILDER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURREN LYLN_J
Address License#
I J ff
ELECTRICIAN COMPANY �A /76 0217461 jkl
SIGNATURE REGISTERED (Y) N FEE CURREN LaLN_j
Address
A0 AA r-t, License# Fc--C, 0,00 1 a
PLUMBER COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN Lj�
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN��]
Address License# I
i I I I m I I I I I I I i I I m 2 111111111111 9 M I I I I i I I I I I I I i 1 2 m i M ffi I I I I+
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 w/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&I 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 ifbn'pUlbli6rogdways. 6dsROW
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 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 for a 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 io'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 buildings, 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. If.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 andAhat 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
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 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 YOU OTICE COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this ubscribed and swo
affi d)b fore me this
by
Who is/are personally known to me or has/have produced Wh /are persn to me or has/have produced
O '
as identification. multi V� dentification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Nota e ,prin'tecror stamped
CARLOS MALDONADO
Commission#GG 346275
rah, Expires June 18,2023
�� FlnP:; Bonded Thru Troy Fain lnsurence 800.385.7019
Np�
INSTR#2019209636 OR BK 1 0020 PG 512 Page 1 of 1
12/10/2019 04:10 PM Rcpt:2115971 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
r
Permit No. _ � Parcel ID No _12-26-21-0030-00300-0080
NOTICE OF COMMENCEMENT
Stale of Florida
—�_-------------_._—.....-•------.._ coantyer._ Pasco _
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following information is provided In this Notice or Commencement:
1. Description of Property: Parcel Identificallon No. 12-26-21-0030-00300-0080
streelAddress: 39118 5th Avenue,Zeahyrhills1Florida 33542 —
2. General Description of Improvement,—,Install 200am overhead service —
3. Owner Information or Lessee information if the Lessee contracted for the Improvement: -
Best Result
Name
_6224 QEatlStceRt—------—.__—_..._.__..r Tampa
Address city state
Interest In Property: Owner _--
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address Pattie Electric&Refri oration city �— stale
4. Contractor. --___—____,q—..---•-• -• _
39111 Pattie Road __.• _ _ Z Phy hills FI
Address City -- State
Contractors Telophone No.: 813-782-3319 —•__—_
6. Surety:
Name
Address --------- -- City -- State
Amount of Bond: $, _ . ..._..__— Telephone No.:
6. Lender. ----.._..._._...- --Name .......
----— -- —
Address------- ---•--•----..-......._.—..— Ciry--------- � State
Lender's Telephone No.: __-
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by.
Section 713.13(1)(a)(1),Florida Statutes:
Name
Address ---��__.._.._..___�_.. ---•'--•-- Ciry—•_-- State
Telephone Number of Designated Person: __--_•-,__—•__—__,_•—_
8. In addition to himself,the owner designates —_^ —of--
to receive a copy of the Llenor's Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner._,_ -
9. Expiration dale of Notice of Commencement(the expiration dale may not be before the completion of construction and final payment to the
contractor,but will be one year from the dale of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PPIjT 1, SECTION 713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR pfOPERiY. A NO'nCE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSP� ON. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WOR R RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pedury,I declare that I have read the foregoing notice of mencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signs re. 'er or lessee,or Owner's or Lessee's Authorized
OHI ector/PartnedManager
' Signatory'sTWelUfficGe
The foregoing Instrument was'ecknowledged before me this Qu day of � L,•' 29�l,by- � �f:C"LFy
as
n (type of authority,e.g.,officer,trustee,attomey in fact)for
�. ___�_V,__•�_(name of arty on behalf of whom in was executed).
Personally Known❑QR Produce Identification FA
Notary Signature — —_ _ _
Type of Identification ProducedrfY �_- C�1�1, Name(Frrint)___-- COfOnB _ —
wpdata/beslnoticordmm encemenl„pc053D48
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO'CERTIFY THAT THE FOREGOING IS A.
TRUE AND CORRECT COPY OF THE DOCUMENT.
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
God-w 49
%SHANDk.ND OFFICIAL SEAL THIS
h .
Ay 0 2
JC,
CLERK&COMPTROLLER
BY DEPUTY CLERK
'OF,