HomeMy WebLinkAbout20-22393 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22393
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22393- Issued: 1/29/2020 Address: 39106 6TH AVE
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: 1,800.00 Total Fees: 50.00 Subdivision: ZEPHYR HEIGHTS
Amount Paid: 50.00 Date Paid: 1/29/2020 Parcel Number: 12-26-21-0030-00100-0280
CONTRACTOR INFORMATION OWNER INFORMATION
Name: AMW CONSTRUCTION AND ELECTRIC LL Name: EDWARDS, JANICE
Addr: 9170 LAVINA LN Address: 33541 ARCH LN
SPRING HILL, FL 34608 ZEPHYRHILLS, FL 33542
Phone: (352)650-3820 Lic: Phone: 813-610-8353
Work Desc: REPLACE ELECTRICAL PANEL 200 AMP OUTDOOR
APPLICATION FEES
ELECTRICAL FEE 50.00
INSPECTIONS REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL
ri,n G
REINSPECTION FEES:(c)With respect to Rennspection 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-813-7eo-o021
Building Department.
�n';%R;ec','olv4d
M. .Phone.Contact for Permittin
': •.
•Ownees:Name- ,..J lGt . GVL1/ - .s r' Qwner.Phon k6niber
k ,_oO neesAddress �3.��t! .�RG . , �!v Owner'PhoneNumbw, .
GCR#Y4140/WA AL 33�1 Owner;Phorre'Nurnber
"JOB ADDRESS: 347 lO G . L Ave .:..-.:LoT'#
SUBDIVISION Id�YI .EF/C[ i K J•� PARCELlQ#
,JOBTAINED FROM PROPERTY 7Ax J3QTICE)'-'
WORK PROP-,OSED'... -` NEW CONSTR ADD/ALT. ,DEMOLISH':
... . _ . . iNSTALL. .. �,::; -RE!?AIR ... ,.- ..
PROPOSED USE; [ SFR []. --COMM .OTHER
TYPE OF CONSTRUCTION Q BLOCK :Q; FRAME>:: � `,e�STEEL
°DESCRIPT.lOh!OF..WORK ��P .4(� IA&00MV&r1 �1�C7?lrCstC A7V+' C U AIM -
,BUILDING.SIZE ! SQ�FOOTAGE.C� HElGHT.:• .
' BUILDING'' $
0 VALUATION OF`TOTAL CONSTRUCTION
ti
LECTRI,CAI.. e h
- r/ $, / "0 AMP'SERVICE DUKE.ENERGY`: C] :W.R;E.C.
QMECHANICAL $ VALUATION OF MECHANICAL:''INSTALLATION "
1 .
[ GAS 0' ROOFING [� .SPECIALTY.��. OTHER
FINISHED FLOOR-ELEVATIONS FLgOI1,ZONE AREA YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/-N,•- :FEE CURRER:.-
Addres's` License#.
ELECTRICIAN � v� G COMPANY HdYI�/ ��i'c�77'ZdC ��� C�TIG'/C LL
SIGNATURE REGISTEREd Y7
Address ticonse
PLUMBER COMPANY-'::
SIGNATURE •Ri6isrEREo Y I=I+l x-FEI_GURRF.�.:
Address: License:#
MECHANICAL. COMPANY'
SIGNATURE'': REGISTERED::- Y p N : : •FEE'CfARRE&"`: '''..Y PN
Address,:
OTHER:. . COMPANy;
SIGNATURE RI:GtstERED ?Y7;N;•,.: FEE,CURREi:• <Yl,N•.+
Address
•
R e n
p.. a f'Su(di Pains' 1 sefbf:Ener `Form§ R-O=1N erriii .fora w'co stfuction';
RESIDENTIAL' Attach;O lot;Plans;<.(2),"�.ts'd, f;ijg [, ,{._). ,,.9Y ;. � Fes., .., _
Minlaium teri(10)working days after sUb'rFiltta!`date R gLisetl onsite' onsli iction,Flans;S�ormwater Plahs';w/.Stlt:Fence'irisfalied.
Sanitary:F:tcilities.k-1.4umpster,"pife WorkiPehhlt-ftir sutidivi'sibnsllarge•pro)ects
COMMERCIAL :Attach.(2.)complete;sets•o1•,Building.Plansoplus:a�Life•Safety.Page;•(I�)':set.bf,Energy,Forms::R-0-W Permit for,new,ophstruction.
Minimum ten:y(10hwockirig day aftersubitiittal:da(e:,;R`,6ire#d onsite;:Constti cttbri;P(ans Stormwateir Pians w!_SI1tFeiice instalied,''
s#
Sanitary Facilities&,'l;dura;fpst r.,Slfe WOW-0riii;it far 8tl new"projects:All commerctal.regoirements must meet compliance'.
SIGN PERMIT Attach(2)sets:of-Engineered Plans,; :.`., :•::., ,,
"'PROPER'tY:SQjFiW1.-requltdd for all NEW Wfistruction.
._�. ....
Directions:
.Fill out application completely.
Ownar8s Gontrector sign,bactc af..application,notarized
'If over S2501);a_kottr e.of Comm®nceme.nt is r®qulred.' (AIC upgrgdes.over$7500)
Agent(for the•contractot)or�Poieree 6f At6niay,{for:the`,,6ikiher):would'be someone with notarized-letter from:owner-authoi lung`same
OVER THE'COUNTER-P..ERMITTING,: ; ;(copy;of' itra4required).
rades:'.r4lG,`; Fences PlotlSurveylFoctage)
Reroofs if sliingfes Sewers Serviee:U}ig';.,
Driveways=Not over Counter if on,pubiicJroadways..needs ROW
i
NOTICE OF DEED RESTRICTIONS: The undersignedunderstands that-this permit-may be subject to"deed"restrictions"
which may--be..more.restrictive-than._County.regulations. The undersignedrassumes-°responsibility for`compllallpq.with,,any -
applicable deed restrictions.
UNLICENSED:,.CONTRACTORS -AND CONTRACTOR" RESP'CtNS1Blt:11'IES"' if`the'awrier has`fiired'a contractor or
contractors to undertake work,ahey may.be.required,to be licensed in;accordance'wth:state`,and.local,regulations::°If the
.contractoras_not-=licensed'as required by law, both thee-owner and cohtte ctor°may`be.cited_'for'a:misdemeanor violation
under state law. if the owner or,.intended.contcactor are uncertain.as„to what:licansing.'requirerrients:mayapply>for the
intended.-works-theyare•advised to contact the Pasco-County.Building lnspeotlon`Division=Licensing Section at 727-847-
8009. Furthermore, if the owner..has,;:hired-;a,�contractor or`contractors,=heis'4dAsed .to have the contractor(s) sign
.portions,of the "contractor Block",of this:application for which-they wil[be,.rpsponsible. If you, as the-owner sign as the
contractor', that maybe an indication that he is,not properly licensed and is not entitled.-to permitting-privileges in Pasco
County,.,
TRANSPORTATION IMPACT/UTILITIES IMPACT.AND:RESOURC E.
COVERY'PEES: °The uMersigned..understands
that Transportation•impact.,Fees and�Recour•se--Recovery.-Fees:�may,,apply to;the-construction ofnew buildings, change of
use irr existing'buildings,-or-expansion-of ex stinb:buildings, as specifitfln Pasco County Ordinance-number 89-07 and
90-07, as amended. .The undersigned.also_understands`;•:that,}such fees,as_"may.be-dtie;••willbe identified�at°tlie`�t!Me of
permitting. It is:-further�understood that`T�ansportation.Impact Fees and Resource Recovery Fees must be.paid.prior to
receiving:. ,-"certificate of.occupancy" or flha'ldpower.release.�-,i1f�:tfte project;does-.=riot�invoive:;a certifrcate'+of'�oect7pancy or
final_power release, the fees.must be paid prior to permit issuance. ''Furthermore`.If PascorCounty Water/Sewer impact
fees are'due;they.must-be" to.Jermit:issuance in accordance,with applicable:Pasco.Countyordinances:
orida Statutes.1-as;ame'ftdo t):'-1f vaCuatlori`of work=is�$2;600:OO,or-:more, I
CONSTRUCTIt'}N'=LIEN-L'AW{Chapter:T�.-�;,;;;FI
certify that: the applicant,,have 4&gnhprovided with.,a copy of.-the- "Florida=Construction.Lien Law—Homeowner's
Protection Guide"prepared by the FIbridai:Department of Agriculteire and:Consumer Affairs..:If-the,,appiicanti4s isomeone
-other than-the-''owner";-.1..certifythafa have obtaihed a copy:of=the'above-tlesc�`itie f ocument,and,-promise'in good faith to
deliver It to the"owner".-prior to commencement i'
CONTRACTOR'S/taiWNER':S AFFID'AVIT'.,t certify,,thatball;;fhe;ii fo mat ori,,jn:this.,applic t ori.is..accurate�and.that.all•:work
+.—.... ..:a•4•Ive i,a' 9�.�,k:e4,,.•,y,7 N•tl,..•„r,• -v.i:n. - .r �, .,. .. ..
willbe done in corrtpliaii•ce with all applicable laws regulating construction,.-zonirtg and°-land::development:;F:Application is
hereby made to -obtain a permit to a'rid.ihstatiaflon�'as1ndlcated. I certify that no work or-installation has
commenced prior to issuance of a-permit-and,,that all work will.;be performed to meet standards of all laws regulating
construction..i-County and-'Vity 66d6 ;`:zoning,.regulations, .arid%'`land!development regulations in the jurisdictlon: .1,also
certify that I understand that the regulations of other;government agencies may,applyto-.the intended work, and.that it is
my responsibility,to identify.what actions.] must take to`be,in compliance. Such-agencies include but aremot.]fmited.to:
Department of Environmental-Protection-Cypress Bayheads, Wetland-Areas,andl Environmentally Sensitive
Lands,Water/Wastewater Treattrierit.
Southwest Florida Water Management District-Wells, Cypress ._Bayheads, Wetland Areas; Altering
Watercourses.
Army Corps-of Engineers-Sea loans :Docks,:Navigable'Waterways.
Department of,-,Health.-,,&�'.'Re#iti ilitative,.Services/.Environment4 Health Unit=Wells;'Wastewater:Treatment, .
US ErWiranmentaF:Protectidn,A j en
Septic Tanks.
- g cy.-Asbestos abatement
FederaPAVlation Authdfitq=F7unways':
i understand#hat_thefollowing;restr ctions4apply,,,to:the-use,6f-filI:
Use of:fili 1;s' nof.ilkweij irr Fiooai Zone"V"-uRtess expressly,permitted:
-If the fill.'ntaterial;is, to..be used in Flood Zone "A'.', it is understood that a drainage plan addressing a
"compensating,volume"4111.,4 ,,*pbmitted at time°of-permitting,which--is:;prepared�,by°a'professional'engineer
licensed by the State of'Florida. m
If the fill.material.Is;.to:,be.,usedrin,,'Flood Zone'"A'"'in-connection with a permitted building using stem..wall.
_-z.
construction, (.certify t(iat fill wilt tie,used orif 'fit the;area.,ithfn.,,the stom>walI
If-fiilmaterial is to,.be used in-any area, I certify•that use.of such'.fill will not adversely affect..;adjacent
properties. If use of filC:is'faund to adverselyaffeet adjacertfipropertiesf.tlieoinrner-may.;be cited for violating
the conditions of the buildirig permit issued under,,:the attached permit application, for lots-less than:one;,.(l)
acre which ace-elevated�byfili;anengineered dr. ln'*ge plan'is required,
If I am the AGENT FOR.THeOW ER, l promise in good faith:to.informahe°owner ofthe::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-condltioning;,-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;:,aiter..;;or,:,
set,6side any-provisions-of the:technical:codes.,nor shall:issuance of-a permit prevent the Buliding 4fficlal.from-thereafter,
requiring a-correction of�errors-in plans, construction or violations-of any codes. Every:perrr ft issued'shall`become invalid
unless the work.authorized by such,.permit is commenced within six months of-permit_issuance,,or.if work,authori�e`d,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,_Officlal for°.],period not to exceed ninety (90) days and will demonstiate`
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•=COMMENCEMEN:T;.MAY-RESULT•iN YOUR -
PAYING-"TWiCE-FOR°IMPROVEMENTS TO;YOUR'PROPERTY :`.1F YO.U;iN7 NhJ TQ 3 TAIN FINAN.CING,:CONSULT
WITH-YOUR.LENDER-'OR;AN;:A'-I'TORNEY:BEFORE'REd,ib' IN.G.'YOUR NOTICE'•'.OF'COMMENCEM.ENT.
FLORiDA`JURAT'(F:S:1'17.'03)
OWNEROR AGENT - -:CONTRACTOR. --- -- - — - -- _
Subscribed and--sworhAa(oraffirmed)>befbie me-this Su cri .d and sworn r 'ffi if, ee Ime thi LL r�
Who istare personally known to me or has/have produced Who Is/ a versonally known to me or has/have"produced
as identification. "as4dentilleatiori.
Notary Public Notry
.. e .Public.:,
ublic
Commission No. Co mi ion �+":`'' JA
:: Commission#GG M457
�a
Name of Notary typed,printed or stamped Name of-Votary: e",.',, ; ,.gym Fairs rnsurance 848 385 70l9
i