HomeMy WebLinkAbout19-22008 I
CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22008
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22008 Issued: 11/05/2019 Address: 6616 WIRE RD LT 114
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 545.81 Total Fees: 45.00 Subdivision: . SLEEPY HOLLOW MHSUB DIV
Amount Paid: 45.00 Date Paid: 11/05/2019 Parcel Number: 02-26-21-0010-04500-0000
CONTRACTOR,INFORMATION OWNER INFORMATION
Name: PATTIE ELEC. & REFRIGERATION Name: SLEEPY HOLLOW MOBILE HOME
Addr: 39111 PATTI RD Address: 38615 LANSING AVE
ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL 33542
Phone: (813)782-3319 Lic: Phone: 813-782-3319
Work Desc: REPLACE POST W/NEW SERVICE POST.& UNISTRUT SUPPORT METER#3478819
APPLICATION FEES
ELECTRICAL FEE 45.00
INSPECTIONS REQUIRED
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�`R 6t® ed .Phone Contact for Permitting F. - f - 9
Owner's Name (7 0 /r',0 ! e s� Owner Phone Number 70 a I
Owne.r's.Address 3g! I s Sl Ave4(/e Owner.Phone Number
Owner Phone Number
JOB ADDRESS �(D �f0 r�� Ke LOT#
SUBDIVISION F PARCEL,ID# 09 — ` —a!— �O —Q r O Co0e.)
(OBTAINED FROM.PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL 8. REPAIR
PROPOSED USE Q SFR Q COMM = OTHER
TYPE OPCONSTRUCTION = BLOCK 0 FRAME = STEEL
DESCRIPTION OF WORK �e IGc�n 0S A AeW. &At1 �C . f U/i;$ d S✓
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL. $ AMP SERVICE ' [(� DUKE ENERGY 0 W:R:EC.
Sys 7c
=PL•UMBING $ f rtE' fir 3q / 66 1�
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
v�6
=GAS = ROOFING 0 SPECIALTY.= OTHER l'r
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO...
.
BUILDER COMPANY
SIGNATURE . REGISTERED L Y/`N'.- FEE'CURREN Y,/N
Address License#
ELECTRICIAN C�/�N _COMPANY 4e Medric a
SIGNATURE7/�LC
n REGISTERED N FEE CURREN /N
Address .3 >r e.' (w I?+�`� �3Sy� License# CC-00 0
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE6
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/!N FEE CURRER Y,/,N
Address License.#.
,
OTHER COMPANY.
8 SIGNATURE REGISTERED Y/,-N FEE CURREN
Address License#
RESIDENTIAL Attach:(2).RIot-Plans';.(2)sets•ofBuilding'Plans;(1)set of Energy Forms;:R=O-W Pemiit for new construction„
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,:Stormwater Plans w/Silt.-Fence•instal(ed,
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,=S.tormwater 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"
s. The undersigned assumes responsibility for compliance with any
which may be more restrictive than.County regulation
applicable deed.restrictions;
UNLICENSED,CONTRACTORS AND CONTRA OR RESPONSIBILITIES: '.If.the owner has hired'a•contactor or
contractors to undertake-work, they may be required to be licensed in accordance vlrith state and local regulations. If the,
contractor is not licensed as required by law, both he 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._requiremenfs=-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•:td,,have-the contractor(s) sign
portions of the "conttactor 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 ND.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 Iiuildings;:as.specified in Pasco County Ordinance number 89-07 and
90-07, as amended: The under..signedals,o: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 tolpermit issuance. 'Furthermore, if Pasco County Water/Sewer Impact
fees are,du%.the-y-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 l-have obtained a copy of-the'above described document and--promise in good faith to
deliver it to the"owner"priorto commencement.
CONTRACTOR'S/OWNER'SsAFFIDAVIT: 1 certify.that.all the information in this-application 1s accurate and that all work
will be done in compliance with all applicable lawn regulating construction, zoning and-land-development. Application-is
hereby made to obtain a permit to do work. and I laws as indicated. I certify that no work or installation has -
commenced•prior to-issuance;:of.a;:permit and-th t all work will be performed to meet standards of all aws regulating
construction, County'and Citycodes; zoning reg;lations, and land development regulations.in the jurisdiction. "I :also
certify that I understand that.the regulations of oTer 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,WaterMlastewater.4Tteatment: ' Cypress Bayheads, Wetland Areas, Altering
Southwest Florida Water Manage ent District-Wells,
Watercourses.
Army Corps of Engineers-Seawalls, ocks, Navigable Waterways.
Department of Health & Rehabilitative Services/Erivitonmental Health Unit-Wells, Wastewater 'Treatment,
Septic Tanks. 1 I-
US-Environmental Protection Agency.Asbestos,abatenient.
Federal Aviation Authority-Runways.� j
I understand#hat:the-following restrictions-apply.to.the use of fill:
Use of..fill'is not allowed in Flood,Zone"V"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 fili 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-tised 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-userof fill-is found to adversely affect adjacent properties,-the owner may 6e,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:er1.girieered drainag'Ovlan•is required.
If I amah-e�AGENT'FOR--T HE,OWNER, I promi �e 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;pas,,or other installations not specifically included in the'application. A
permit.issued.shall..be.construed to.be a license to proceedz�with,,the work and not as authority to violate, cancel, alter, or
set aside any provisidns.of the°,technical cod.es,1.nor:shall issuance of a permit prevent the Building Official from thereafter ,
requiring a correction of errors iniplans, construction or violations of any codes. Every.permit issued shall become invalid
unless the.work.authorized by.such'eermit is �ommenced 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 timeAhe 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.-.---
YOUR
—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,:OONSULT
WITH-YOUR LENDER OR;AN•ATTORNEY-BEFORE=RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this i SubsIcrbed'and sw n tp(or.affirrned),before.me is
by
Who islare personally known tome or has/have produced) Who'islare per 1 y known to me.or.has/have-produced
dentification..
as identification.
.ti I I -
N Notary`Public
Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped I _ Name of.Notary-typed,printed or stamped
i