HomeMy WebLinkAbout19-22198 i
CITY OF ZEPHYRHILLS
5335-8th Street
t (813)780-0020 22198
ELECTRICAL PERMIT
PERMIT INFORMATION I LOCATION INFORMATION
Permit#:22198 Issued: 12/26/2019 Addre s: 38921 5TH AVE
Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Town hip: Range:
Proposed Use: NOT APPLICABLE Lots) Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,500.00 Total Fees: 50.00 Subdi ision: CITY OF ZEPHYRHILLS
Amount Paid: 50.00 Date Paid: 12/26/2019 Parcei Number: 11-26-21-0010-14500-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CARLYLE ELECTRIC Name: SWAIN, TERRY& DIANE
Addr: PO BOX 251 Address: 38921 5TH AVE
CRYSTAL SPRINGS, FL. 33524-0251 ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)842-1943
Work Desc: HOUSE REWIRE 200 AMP
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRE D
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
3
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 finan(ing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. Ali work shall be performed in accordance with City
Codes and Ordinance;.
CONTRA GO OR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOU APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR 40TICE REQUIRED
PROTECT CARD FROM V 1EATHER
I�
813-780-0020 City of Zephyrhills Permit Application Fax413-7e0-0021
u
P Building Depa ant'
Date Received .Phone:Contactfor Permitting; °: -
`owner's:Nartie `" c/ / --Owner.Phone•Number. :
Owner's Address71
Owner Phone Number;
F
�. Owner PhorMNumber.
JOB'ADDRESS "'Z! ,� T""!✓591 7 -Ie LOT#
:'SUBDIVISION* PARCEL ID#
(OSTAINED•FROM PROPERTY TAX NOTICE),:.,.
WORK PROPOSED NEW CbNSTR ADD/ALT SIGN :,DEMOLISH
e INSTALL- 8 REPAIR
! PROPOSED USE [� SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q. FRAME �' STEEL 0.
DESCRIPTION OF Vi1012K IfL`% me
BUILDING SIZE.... .. �.SQFOOTAGE `lGrdl HEIGHT} �
=BUILDING F-7
VAt:UATiON OF TOTAL�CONSTRUCTiON
=ELECTRICAL $' t AMP'SERVICE f!J/, Q` DUKE ENERGY 0 W.R.E.C.•
/l� D4
=PLUMBING' $
=MECHANICAL ($ VALUATION-OF MECHA.ICAUINSTALLATION.
=GAS = ROOFING ) :SPECIALTY OTHER'
FINISHED`FLOOR'Ed VATIONS' (�^� FLOOD ZONE ARE =YES NO
BUILDER COMPANY l
SIGNATURE REGISTERED Y'/ N FEE CURRREEh
( Y7 N
-.Address :License#1 .
ELECTRICIAN. COMPANY
SIGNATURE 7/ REGISTERED ""'Y FEE`CURREN` YIN
�j� V
Address J [� /�!?r License'#
PLUMBER COMPANY
SIGNATURE REGISTERED. Y/•N 'FEE'CUkRR'EK- :U/`N'
Address :License.#' 1. �� I
MECHANICAL COMPANY
SIGNATURE ` REGISTERED Y/%:N FEE+C,URREh
Addr®ss License#
OTHER COMPANY
SIGNATURE REGISTERED Y/'N FEE CURREM1
Address. License'.#
RESIDENTIAL Attach(2),Plot Plans;(2)�sets;6f.Bu{(ding,Plans;;(1.).se#rofiEinergy.Fo s'WlO Peit 0-new construction;
Min{rnurriten(t0)•worki»g-days-after-subniittai date. Required onsite,Construction Plans,Stormwater Plans wl Slit Fence'installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdiv{sicns/lar�a projects
COMMERCIAL Attack(2).complete.sets of-Building Plans-plus a-LifeSafety Page;(1),at of-Energy-Forms.R-0.0-Permit4or.new construction.
Minimum'ten(10)Mirklho',d iys;after:submittai:date.tRequired onsite,Construction Plans,Storm"14:Plans w/SlitFence installed,
Sanitary Facilities&1 dumpster.Site Work•Pemilt<for all new-- ects.CAI!commerclal.requlrements must,meet.compliance.
SIGN PERMIT Attach(2)•sefs,,6f Engineered Plans.
****PROPERTY SUI VEY required for all NEW construction.
Directions:
Fill out application,.completely.
Owner&Contractorsign back of application,notarized
If over$2500,a Notice of Commencement Is required. (A/C upgrades.over.$T50 )
'* 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)
Remofs if shingles Sewers"'''°'"`"Service Upgrades='.A/C.., ...Fences(PIot/Survey/Fo tage)
Driveways-Not over Counter if on publivroadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that.this permit may subject to"deed"restrictions"
which may,be more restrictive than County regulations. The undersigned assumes responsibility-for-compliance with any
applicable-.deed restrictions.
UNLICENSED CONTRACTOR'S AND.:CONTRACTOR'--;RESPONSIBILITIES:-.,,If�.�the•,owner-has.hired- a;contractor or
contractors to undertake:work; tliejr:triay'be require to be-Iicensed in accordance with state•and local regulations:.If the
contractor.is,not.licensed as required�by.law;'tioth the.owner-•and.,contractor.'may,:be•.clted-for a-misdemeanor-violation
under'-state--law. if the°-owner or intended contractor are uncertaid as to what lice'nsing.requirements may-:apply for Jhe .
intended work,,,they-_are advised=to contactthe`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 contractors) sign
.portions-of the "contractor Block"of#his 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 licensedand is not�entitled to.permitting,privileges in Pasco
County-
TRANS.PORTATION•IMPACT/U.TILITIES`IMP.ACTAND--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 expaiision;;of existing" ulidings;as specifietl-ih Pasco County.Otdinance number 89-07-and
90=07;.as amended. The undersigned also.understands,,:that such fees, as may be,due, will..be identified.afthe time.of
.permitting.- -it-is-�further under.stood,:-that-„Transportatiori'impact Fees and Resource.Recovery Fees must:be paid prior to
receiving a"certificate:;of;:occupancy" or final:,power releaser If,•the project.does:notinvolve:a:certifPcate 'f,,O&upancy or
final.:power release ,tile fees must-be paid prior to=.permit issuance. Furthermore;:if'Pasco County-Water/Sewer Impact
fees.are due;they-must permit.lssuanceJn accordance with. -ordinances:
CONSTRUCTION..LIEN:LAW(Chapter 713;Florida$tatutes 7'as::amended). If valuation:of work.is$2,500. or more,a.
certify.:that I thee .applicant, have'been•:pcovided1with. a copy of the.."Florida',.Construction Lien Law--Homeowner's
Prole'tiorn Guide" prepared�by the Florida Department'of'Agriculture and:Consumer'Affairs. If-the applicant is.someone
other than-the"owner",.I certifythat.I.have.obtained a copyof the.•above>described:document-and promise in good faith to
deliver.it-to the"-owner-"p-""onto commencement.
CONTRACTOR"S/OWNER'S-�AFFiDAVIT.<:I!certify.that.all;the.information'in'.thislapplicatiGon.is.accurate:and..that:all'work
will.:be:done:.in.;cori�ptiance virrtttµall{apoticable:•iaws,regulating,66hstructloh zontritvand landtdevelopment. Application is
hereby 'made to obtain a permit to do,.work .and_,installation::as:r�indicated.' I certify-that no .work or installation has
commenced prior to issuance of a.permit and thaYall Work.will be perforrned:.to meet standards of all-laws regulating
construction, County and;Clty.podes,.-zoning-,regulations, andwilalidq'Aevelopment regulations in the jurisdiction.-,'I also
certify'that I Understand.-that-'theregulations-of other-.government-agencies may,apply to the intended work, and that.it is
my-responsibility,to.identify:what:actions 1-must take to.be in compliance. Sudi.agencies.,inciude but are not:limited,to:.
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally'Sensitive
Lands,WaterMastewater Treatment.
Southwest Florida Water,. Management. :District-Wells, 'Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army.Corps:of Engineers-Seawalls; Docks,�Navigable{:Waterways.
Department of Health & Rehab(litative Services/Environmental Health'Unit-Wells,. Wastewater. Treatment, .
Septic Tanks.
US Environmental.Protection Agency-Asbestos..abatement:.
f ,
- ' 'Federal'A'_1 ion,,Auth'ority;Riinways `
I understand t�afithe-following restrictions appIy.to the use offi1L
�.Use-of:fill:is.notallowed:in Flood:Zone"V"unless;expressly permitted.
lf'the':fill:-*=material'is to:"be used` in-,Flood-Zone:-"A",.--its-is--understood'-that a drainage plan addressing a
"compensating volume"Will-,be submitted at time of.,permitting.which.is prepared by a professional tengineer
-: 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 certily-thed fill-Will-be used onlyto"f Il.tth&,area within the stem wall.
- if-fill .material,.4s.to"
�be used in any:_area, 1 certify.=tl�iat-use.of ,such•fill will not`adversely affect adjacent
properties. If:Use of fill-Js,found to adversely ggpqt adjacent properties;:-the::owner:maybe cited:for violating
- "the it
he ng permit:issued-under the attached permit"application; for lots less"than-one (1)
acre which are elevated;byfll,an engineered.drainage plan:is required.
If Fam the AGENT FOR THE:OWNER,-I,proi.nise.in good faith toy inform-the owner of the.permitting-conditions set forth in'
this affidavit-prior to commencing construction. I understandthat 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-ta be='a"license to proceed..with.the work.and not as authority to,violatei.cancel,biter, or...
set aside any provisions of the technical;codes,, nor,shall issuance.of-a'.permit prevent the Building.Official from,thereafter,
requiring,a'correctian,of errors in-plans;construction or violations-of any codes: Every-permit issued:°shall become.lnvalld
unless-the work authorized'by such•,permit is commenced within six months of permit issuance, or if;work authorized by
the 1permit is.suspended_or.abanddnd&for,a period•of six(6)months after-the-time W6.worlds commenced. An extension
maybe requested, in writing, from the Building Officlal for a,.period•not10 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 RESU.LTJN-YOUR.,
PAYING:,TWICE,FOR,'IMP..ROVEM.ENt JO.:YOUR:PROPERTY;:IF YO.U:x1NTEND`TO.OBTAIN:FfNAN:t±fN:G;:CONSULT.
„;.
WITH=YOUR.LENDi=R OR°AN_ATTO-,IRSI BEFORE�RECORDING YOUR'NOTICE:OE CCIMMENCEMENT: .
FLORIDA JURAT(F.S.1,1:7.03)
OWNER OR AGENT - CONTP..ltCTORI.
S h§cribed an b sworn td,(or affirmed)before ei rd mb a/ e
Who is/are personallyknown to me or hashaePruduced Peo ai known to rtreror.ias/h produced
as identification. 7a _„C" .: as,identiflcation:
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed;printed or stafnp
CARLOS MALDONA00
commission#GG 346275
r• 4`` Expires June 16,2023
`�'VF$;�; r- Bonded Thru Troy Fain Insurance 8*385d01