HomeMy WebLinkAbout20-22235 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22235
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION'
Permit#:22235 Issued: 1/14/2020 Address: 39344 6TH 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: Total Fees: 45.00 Subdiv sion: ZEPHYR HEIGHTS
Amount Paid: 45.00 Date Paid: 1/14/2020 Parcel umber: 12-26-21-0040-00100-0030
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ON-LINE ELECTRIC Nam : PF ALLIANCE BORROWER LLC
Addr: 1809 W BRANDON BLVD STE G Addre s: PO BOX 566
BRANDON, FL 33511 ZEPHYRHILLS, FL 33539-0566
Phone: (813)662-0362 Lic: Pho e:
Work Desc: SAFTEY INSPECT ON REPLACEMENT OF METER JAW & METER COVER
APPLICATION FEE
ELECTRICAL FEE 45.00
INSPECTIONS REQUI ED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will omply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount o the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each uch subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be a ditional 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 commer cement 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 WITHOU r APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR 40TICE REQUIRED
PROTECT CARD FROM V 1EATHER
On-Line Electric
LIMITED POWER OF ATTORNEY
�( 40
Date
I hereby appoint ��� to m I Kula orney -i-farLt for all
matters of permitting and inspections in �� l /
and to pay any related fees or conduct any general require/ments necessary I-Complete our work within
the jurisdiction for the address listedbelow:
JOB ADDRESS: 3 7 3 `s/ I
License Number: EC13001753
Name f Contractor: Horst Odparlik,
Signature
State of Florida
County of
The foregoing instrument was acknowledged before me this day of Y 20aQ, by
who" ersonally known t e or has produced as
identification.
(SEAL)
Notary Public Signature
Notary Public State of Florida
Tamra Swisher
My Comnassion GG 34w41
�7p w Expires 06/02/2023 -
1100 N.501h Street,Ste 2H (813)-662-0362
Tampa,F133619 EC13001753
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Deparl rnent
Date Received
Phone Contact for Permi ing
Owners Name Owner Phone Number
Owner's Address �® a��� �� al Owner Phone Number
Owner Phone Number
JOB ADDRESS 39,344 A-\ Y LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
W,ORK.PROPOSED NEW CONSTR ADD/ALT SIGN. 0 = DEMOLISH
B INSTALL, REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF-CONSTRUCTION BLOCK Q FRAME STEEL = y
DESCRIPTION OF•WORK kU , d C Cs
BUILDING SIZE F7 SQ FOOTAGE HEIGHT
ILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE. = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q; ,SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOODZONE,ARE - =YES NO
BUILDER COMPANY-
SIGNATURE REGISTERED Y L N FEE CURREN Y/N
Address' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address S iz���v}� a��� `> s£ �� / 1 License# T C n3oo °?
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN'
Address License#.".'
MECHANICAL ` 'COMPANY''
SIGNATURE REGISTERED ' Y/'N FEE CURREN Y L:N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N -
Address License#
RESIDENTIAL Attach.(2)Plot Plans;(2)sets of Building Plans;(1),set!of Energy,Fo s;R-0-W Permit for new construction,
Minimum ten(10)working days'after-submittal-date:`Required onsit ,Construction Plans,Stormwater Plaris 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'afi&submittal.date.;.Required,onsit ,Construction Plans,Stormwater P..lans.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$7 00)
Agent(for the contractor)or;Powerof,Attorney`(for';the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING:: 'r;c:(copy of:contract'rgquired)
Reroofs if shingles,: Sewers:,`,i'.n-j;Service;Wpgrades':'''C? Fences(Plot/Survey/ ootage)
Driveways-Not over'Coiiriter if oripublic roadways::needs ROW
1mv I ICE 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
pp
UNLICENSED CONTRACTORS-AND CONTRACTOR RESPONSIBILITIES: If 'ft' owner has hired af contra itor,or
c 'tractors to undertake work, they may berequired to be licensed lnaccordance with state and local regulations.' If the
on
' tractor is not licensed as required by law, both the owner and'contractor: may'he cited for a misdemeanor violation
con
under state law. If the owner or,intended contractor are uncertain.as.to what licensing.-requirements may apply for the
int'ended work, they are advised to contact the Pasco County Building-Inspection Diviiibfi�Lidensing Section at 727-847-
8069. Furthermore, if the owner,has hired'a-contractor or contractors, he..Is.advised to have the contractor(s) sign
ns of the "contractor Block" of this application for which they will be responsible. If-you, as the.owner sign as the
porltio ctor, that maybe an indication that he is not properly licensed and is ot entitled.tot permitting-privileges in Pasco
contra n
Co unty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees.may apply ta the.construction of new buildings, change of'
1 in existing buildings, or expansion of existing buildings, as specified-in P,asco County Ordinance-number 89-07 and
use
90,L07,,as amended. The-undersigned also understands, that su-ch"fees, as'may be-due, will be identified at the time-of
permitting. It is further u'n'derstood that Transportation,Impact.Fees-and Resource Recovery Fees must be pald.prior to
rec!eiving a "certificate,of.occupancyn or final power release. If the,project-does not involve a certificate of tbccupancy or
finial power releasei the fees must be..paid prior to permit issuance. -Furthermore, if'Pasco County Water/Sewer Impact
fee's are due,they-must be paid prior to-permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,-Florilda Statutes,as;arnendiii_d),: If valuation of work is$2,600.00.or more, I
cekify that l, 'th e- applicant, have-been--provlded with a copy of-.the--"Florida,Construction Lien Law—Homeowner's
Proltection Guide" prepared by the Florida Department-of Agriculture:and:Consumer Affairs. If the apolicant.,is someone
other than the"owner, I certify that I have obtained a copy-of thei-Pbove-described document and promise in good faith to
deilver it to the-owner"prior to commencement.
C6NTRACTOR'SIOWNEWS'AFFIDAV.IT:.,I.,certify 1hat all-the information ln.�this.application is accurate.:and.-that,allwork.
will be done-in compliance with all applicable laws regulating construction, zoning and land'development, Application is
h�'reby made to obtain a permit to do work and -installatio,6. as'Indicated.1 I certify that no, work or installation has
to issuance of a-permit and. that all work will ,be p-erform'!a*d.'.'.'t'-o'-*m--'e*et'--st"ai 6da-irds 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-ma --apply-to-,the J,ntended work, and that it is
rn�responsibility to identifywhat actions I musttake to'be in compliance.- Such agencies include.but are not lirnited to:
Department of Environmental Protection-Cypress Bayheads, Welland.Areas.and Environmentally Sensitive
,,Lands,Water/Wastewater Treatment.
Southwest Florida Water Management Distritt-Wells, Cypre�§. Bayheads, Welland Areas, Altering
Department of Health &"Reha" bilitative SOrvic6i/Ehvitdrimeri.til'74eialth Unit-Wells, Wastewater Treatment,
�
Federal Av6tion'Au* tfibr'fty'-Ru' nways.
If the iii'm'afed'ail d Z_"'i""'A"Ji-is-""understood that a drainage plan address,ing a
Ucompertspting-,:volur;he"�w'llI be.submittbd at time zoUpermitting which-,is prepared--by a professional engineer
licensed by the State of"Fiorida.
If the.'fill material-.is--to-be,.used-In-Flood Zoiie"'*'16 COhnectio'n with a- permitted building, using stem wall
ify _area.withinAh -stem wall.
If fill material is to be,,used in any area, [-cortify that use of such fill will not adversely affect -adjacent
properties.".:If us6_bf fik"Is found.*to.adversely affect adjacent properties.:the.owner may-be-.cIted for violating
the conditions of the buildhig permit issu'ed.und"er'the aftached permit application, for lots less than one (1)
-acre-which are elevatedlby fill;anengineeted'drainage plan is required.
am Ahe AGENT FOR THE OWNER, foromise in good faith to inform1he owner of the-permitting conditions set forth in
thi's affidav,it prior to commencing construction. I understand that a separate permit may be required for electrical work,
plul mbing, signs, wells, pools, air conditioning,-.gas, or other leistallatiohis.'fibf,spedifiicaiilly I n'cluded in the-application. A
pe I rmit.issued shall be construed to be a license to proceed with',the Work and not as authority to violate,*cancel, alter, or
I aside any provisions of the"'techhical codes, nor shall issuance of a permi I t prevent the Building,Official from thereafter
set
requiringa correction"of errors in plans, construction or violations-of.any codei. -Every permit issued shall become-invalid
uh,less the work authorized by such permit is commenced within six months!pf,permit issuance, or if work authorlzed.'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 Qfficial for,a:,peflod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work-ceases,for ninety(90)d6nsecutivel, ays,the job is considered
WA1RNING TO--OWNER: YOUR FAILURE TO-.RECORD,,A.:N1 OTICE-OF COM,MENCEMENT MAY RESULT-IWYOUR
'�_~^--_- ` � �Septic Tanks.
~
CONTRACTOR
OVYNER OR AGENT
Subscribed and sworn to(or Wrmed)before me this SlibscHbed and ' ;t thl
W�o islare personally known tQ me or has/have produced ~" �
Identification. ,
. `'.
Notary Public
Notary Public
commission No Corr�;Z No
EBOGES
JACQUELIN
Name of Notary typed,printed or stamped Name of Notaryy typ
�
|
| / �
fn-
LIMITED POWER OF ATTORNEY
Date
1 hereby appoint 6-Dajwco C U to be my lawful attorney-in-fact for all
matters of permitting and inspections in C( 7-7- o F �? f3�' •'�, '
and to pay any related fees or conduct any general requirements necessary to complete our work within
the jurisdiction for the address listed below:
JOB ADDRESS.31 LA'-'l �i ks ,-, I C-P 'A
License Number:EC13001753
Name of Contractor: Horst Odparlik
ou
Signature
State of Florida
County of
The foregoing instrument was acknow afore me this L6 day of Y `"�
) 2018,by
who i ersonally known o me or has produced as
identification.
(SEAL)
Notary Public Signature
NEE
s of Florida
ri Chi 349741
12t�2�