HomeMy WebLinkAbout20-22476 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22476
ELECTRICAL PERMIT
iiERMIT INFORMATION LOCATION INFORMATION
Permit#:22476 Issued: 2/13/2020 Address: 5542 ANNETTE ST
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: Total Fees: 45.00 Subdivision: SIXTH AVE
Amount Paid: 45.00 Date Paid: 2/13/2020 Parcel Number: 12-26-21-00213-00500-0000
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: SIXTH AVENUE LLC C/O MHC OPERATI
Addr: Address: 2 N RIVERSIDE PLZ STE 800
CHICAGO, IL. 60606-2682
Phone: Lic: Phone:
Work Desc: REPLACE METER BOX & BACK BOARD
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-813-78MO21
Building.Qepartment -
te`R®celvd
1 ;Phone;Contattf6r>PegWing
?'
MI
J / )'. ,.fir,..-.., :•,ti�,�•_,•:••wa 1.;:.: - - ,.
d;,Qwndr,# Address erP
�.:...16—
K
SUBDIVIS16N: AR EL,.1 ,.'
(�
;;toeraNEo3�rio �ERoptevrNgncl).
,'
aM1.
R -
WO K, ROPO ED> w< r_
s . ,....,-P-. S . ..... . , NE ,CONS?aE • ADD/AtT. :SIGN'''" °dEMOt1.SH
INSTALL :; ;i2) Pgla7.
.;P.R P D _O OSE :USE :. F_ �;S.R��: . . ;C.OtVillil•�;�-` BOTHER.
4n..t
j' .
:'TYPE`--. E.fr` _
O t;1'F15'f�RU�?1'1 N'� '�f3L IC - .;F
DESCRIpTICN�OE:.tNb'ttK. Z _
,B.UILDING.SIZE SQ,FOOTAGE
=BUILDING $ .
VALUATION;OF TOTAL;CONSTRUCTION-rs
EIECTRICAL.. �`' $, �AMp+SERVICE DUKE ENERGY;:
=MECHANICAL $ VALUATION OF MECHANICAL INSTALtAT,ION-
=GAS Q ROOFING.,• d,, ,SPE9.
IALTY„[=:.' .,OTHER::.-
«,. ,.•
FINIS HED.FLbOWELEVATIONS: = r . -4.PLOODkZONE'AREk'
.BUILDER COMPANY= .::..,,�,::. •:�=: . . ::;';::..; .
SIGNATURE ;;; .REGISfREps i'Y'/:ay ["' •FFEiCURREKt'•;i`�'LY%:N={ a�•'
Address"' � .. . .:�.Licei�se#��` _ . `:. •;��' _ �.
ELECT Ill. " :COMP".
SI'ONA RI: ' aEcistr? if-!E
L' - - i'•
;PLUMBER" . ..
WWI
SIGNATURE' ar Gis#>1iD. r^Y%%'N='. `�:SEE°.CURREI�_''• r
„Address. •:,:: . .. L�r;eii's9:�`I;�;n;;•>: - -
MECHANICAL. 'COMPANY:
stGwArurtE
al Gisrtgso: :Y%>N FEE''.Cf1RREM1 :•` . ,Y7l,.N
Address,:
:7
OTHER:,.• _
xY :F.EE'CURREt ;'� +
SIGi�lA7UflE;: =.Rt:c>stElaaD /:�F#;:`_
License
is: 1•f.= b.. _J L,•+...,,,:•i .�'e''� .a.-..-.,7.*n?' •'*'•;:' ')°': -
y� ..( y p v�15'`•r:,1.�s'et"f r5e r orrns', �- .foi' w:. X1 ,.
.>p Ot•lla S't•$•.�efS,bf; .pied i;E q i..I1,) O ���,,!•SY., 4,y .w. :..'S.o-.,.o .e
RESIDE�JYIAL' :Atte�r,(�) .; . 1�;:w1 ,-; ,.�-'�� ,,•!;�C�"•M •. Er .t .;ta� :,•• r..CM � ",•it%��>�..s: �s-: : �:i.:
rNijilliiuiititen' • '0)' iki�ig?days MI.. i�b t l? ,atext°Ft r'e$_or�s�Ct;;;CorlslrLctlbii l i rrs;Sjorn atefPf�ii °vV/ i(I? rjc�ifrfstallsd .: -
f, .
Sanitary:Feailities:,8�$umpster;SiCe:Wdtie'Permit fOr. bdfinsfon3[Isi�gs°projects;
COMMERCIAL :AttaCh,.(2)corrlplete;sets:ol.,8ii(fdfn9°:Plansiftlsifefet }Page (1)':seY Of�Eiiergy.°Forms R O=W Permit for,`new�ca4ietr4+ction
'Miriir�tiilm teh(1D);w6rlclrng tla,Yy'�s, ffeF rr�Dalrfi�ttal rJ e` F ' f�; ,. to Constiiict on ?'gnstisStormwat8lz jenS w%milt{ en i�lOtall�d;'.:
Sanitary KaClitites&1.ciui4t�s�ISF:'SiWortc F4mtit,t'6r a`II'neW projects Alf commercial:requir®ments'must ee4`compltance
SIGN'PERMIT --------------
•••'PRGP,��;�YHSIJR\/EY`rlqulfed afgr'ali?,d�Vi/.:cofisfnictto .
Directions:
.111 out application complelgly.
Own br�&Co`i1fYctoraPgn;pack:of a�pll,Cafton;,notarized.
Ifw�rS2��0 aa�oflir®.of`Combtencethent ia"rdpired:--(AIC upgrades over'.$7500)
•• Agent(forthe:contractor):on.'Power..6fAttbrney;(f6r.theoWner);Would•tit:some6newithnoteHzedletterirbm:owner-auk titrigsame:
6f cbhtraet7equtred) .
Ot/ER:TME_000NTER ARMITTIN I- _•.,,.(cq(!}!;r,......,
Reroofs ifsfitngles Sewers Service<Upg'rad'es!:A/C`' '`'Fences(ploUSurvey/Footage)
Drlveways-Not over Counter if on public roadways.-needs ROW
NOTICE OF DEED RESTRICTIONS: The-uridbisigned-Lunderstands that-this permit-may be subject to"deed"restrictions"
whlch-maybe�mote cestdctive than.County4egulations. The undersigne&ass>rImes-respons!bilityfr°complidnce wf#kany
applicable deed.restrictions; I
4RS AND�CO'NTRACTdR�R S�0ON.6#13 �I flier o viti -lyas`"l It6&6 coritraa#or or
contractors to undertake work,;::hKBy tray bamequire&to be licensed in:apcorrta c ..Hrith sta#e,.an iopai regt�fations if the
-con#raefar.:is�riat iicensau as required by law, both the owner-and," Ma c1Udd'fbr�a Viisdemeanor violation
under state law. if the=owner1oc;intendedF;p.o ttractor,are uncertain-as.to wha#{icec>S g_requicemerEts rna apptjl=for�the
Ariter�de&workthey.�are ovised to contact the Pasco:County-Bu€ltlinjlhi�ection Divisid licensing Section at*727-847-
8009: Furthermore, if the oM nr er teas,�hlr.4q contractor or contracCor -ha'.is ad tsed .to: have the contractor(s) sign
portions-:of,the**"contra'ctor.Block°..of:this..application-far.which_they uu311:be..respot�s_lble.;.if you, as the.owner sign as the
Contractor;that may be aniiidicatiori that he is riot.properly ficensed-end is not entitled.#o-permitting-privileges in Pasco
Gounty..
-'TARNSPQRTATION fMPACTIUTfL ITIESIMPACT AND-RESOf*URGE"RECOVERY•FEES: The undersigned.., ,d is:p ds
that Transpartat#oia.9mpact ees.:arid fiecoucse L2ecovery f=eesrmay�appty=to-the�construefioh oaf-new buildings;change of
use#rf`existin"Uild€rigs,"oe expansion'-of�'eiil'stirig�'bulidln9s, as specified`€n Pasco County Ordinanee--number..8"7. and
90-07, as-.amended;. T:hQ:<undersigned Ratso�undbrsfands;�tF3af4dbh fees,.as:may.be:due; wifi�be ident ed~at�`ti e`tiirre of
permitting. It isfiji ther vnderstcrftiitfrafri5partafian.tmpac# Fees and Resource Recrnrery Fees must be paid•prior to
race€vlrig.a"c;sertlttc to sf.occupancy€or l al~<paw r:r lease •It the•proje�tado riot ihvtt#vela certificate c f`occ pancyfor
final:power-release, the fees.must.be paid prior to permit isst�S e. -urtherm'oiror if'Pa'sco,.County Water/Sewer Impact
fees;are:dut3;they;must�pe`paid�pr{orb#o�l�r�lt<issuance.in accordance�viiit>�i•appllca'�fe�Pa`s�iCountyordinaiices
CONSTfitUCTION LIEN CAW{Cha ter 3,;;ttlarFda�Sia#uta�;as(amomsed) ,.I€y [.Lratioti'tfiworktls�$Z;5OQ:00rarimore, l
cart€fy;the#=1:;--fhe:,=�ipplrcaat,,;hav loridaConstr?uctin Lien Law—.Homeowner's
-Protection Guide"prepared-by#he:.Florldik',;t?epartment of Agriculture,and Consumer`Affairs.i:if:themppliCaatiis-tsom ogle
other than;tfire"atiivner' f c rti£ #hat € e"i tamed a-cap} of ftte bbOd.�ities`ccr'c"684b'cuit ehfand,promise!n good faith to
deliver-it to-the"ownOre:pnor� Wcommep,.pe
r'��• .,� �� .;c rtifji,ti� tdil`tli' } fo' a o' n; hs�a !�v ato�is cu n t Ilwork
..J�;:�. ' w�.. �.•': f:..P�.4�n�4�<.ti .p}.1�,_��lw..:.:.,P�.t?.at' � r;�t�;a..dd t�at.;a.
uulll4be done in campliance Wi l'a% i?.Bylaws.re0ulating construction; zorin'g bad and:development l ppJication is
hereby made to obtain a perrnit tado=$uGor�ltitiiiifis#aller�anas araicafed I certify that na work or•instaitatton has
commenced,p +�r to issuance.of a.perrni;f`and.,that all work.wilt'be perfgrmed.tio irieet•;standards of att laws regulating
corisffuctiari;.County ands it 4 i ;4;�aX it g regutatlons, n'!*lah"—development-regulations in the junsdi......, .f also
certify that I understand that the regulations ofothergovernment:agencies'-may eneiesrnapplyote-theJFntended work, and:that it is
my responsibility:to identify what actions R:must:take:to:beiin compliance. Such agclude but areinotrIm'itod ta:
• Department of Environmerltal,�Rrotection-Cypress Bayheads, We#Iand.Ar:eas znd�Environmentally Sensitive
•Lands,WaterlWastea
Southwest Flar'rda W'°ter Management DistridVells, Cypress .,Bayheads, :'.Wetland Areasi "Altering
Watercourses.
• Army Corpof Engineers-.ID;malls;:Docks.-Navigfabl#Waterways: ."
Department ofvHealthe�,4 llitative-,ServlCes/Ehvironm(into) Health Unit=Wellt-�Wastewgter�Treatmeht,
Septic Tanks
• .°-U�EnvlronnaentahiPtecf€oi�gancy=y!isbestos»abatement::•: . _, . . . ,._. .. .. .
!under:stand>that::tlieotiowiag.res�r��Ctio tyto;tite
11eaillis not=dllouiQf<e"V"uriCeseeic rsssl ermitfedw- . ... ..
"if"'the'"#ill iriater'iat:is to be use`if in '-Flood Anne °/k'% it Is understood'that a drainage plan addressing a
-°compensatingtvq'l6 rM ill ba;zgp t fledmeKof permitt 0 ;wh ph:asm;gFepared y.:e ProfessionaR"engineer
llcensed:by tilt~State of Flor`lda.
Jf::the 111t..-mater aF is.# bey use ;JgmFiood Z (°A'i -connection with a permitted building.using: .eRr:lvaif,
y'.;
construbt€6n,,ITcertify#hatfilM' l Ile ised only. #1lt ja ar q�ui N01thmstecn,awall:.'.__.. .-.
ff-•fill:'material is,to,.bw.used•in:.any area, E certify that use.of-such,.fili°will not adversely affect.,,adjaeent
properties..: ifRuse of IiNjs:found�to.adversely affiact*adjac t pKi pdtties the owlaer-rivoy:be:.oi#ed for vit5lating
the-conditions.of the building permit issued:und#rt#1e-6tt9ched permit-application;for tots-less than ugne(,I).
acre�+t+hleh areµet@ t$ ybyKhil gnrengineered.i.t ilt— a plan`is required.
tf I arrrrthe AG I�1"K Ft�I Tf 'Olt 'ER,`i.pfrom'ise In good:faultta:inforrnttlt'e�.owne of file*pearltt€rigwcontlitictns set forth in
this affidavit-prior ta-commencjng,00nstruetion. I understand.that a_separate,.permit.maybe required for electr�icakwork,
plumbing;.s€6' ; wells;=-poofs,�alr•conditioning;gas,>or other'linstall'19 ons�not=spec��ify<includedr•in,-the�-application. A
permit,issued-shall be,construed#o be a.License,to.proceed;iwt.hAe:work,and not.as authority to-violate,canceli..Ot_er;,Qr:,..
set•asiderany troyis ons�of�t# teohnicak o--j nor shalt Issuance of is permit prevent..the Building Officiate#om#Frereaf#er�'
re,quiring.'a`correctiori=ofi*errora in plans,,construction or vlolatlonv-o any-codes Every.perrriit issued`�thtill°become•.inval€d
unless-the wank;:authorized.-by.such:,permit,is commencedwwithim-six.months:gf.perm;t.lsauar oe,:,ar..i#::�arork authorty 0,1by
the--permit,Is-suspended-or-atsandorted'for�aFperiod'of.-six(6).montheafiter-the:time'th®:woek is cclmmenceii `'Amextension
may be-requested;-in.writing;#comahe_Bullding.official fors Ood not:to exceed ninety(90)days and will dem!ppstr'ate`
Iustiflable_cause fer�the extension.•tf work.teases for ninety`fgd`ci�nseeut€ve,.days,.:the.:job�is:considered-abandoned:
WAl2NtWC�O Qu4tNER.:1f�UR'�AfLURE,TO-.-RECORD;tA +IOTI,CE�KOF--CC?MMENCE.MEN7'�MAX:RESt If:T�IN;"Y.,6.UR
— PAYIIUGiIC lrO`ltilMPRnVEMEfif�;Sid.
Y .� Y"(�l1�JN1FNt "1PO~® TAIN~f=#Ii1ANOi(PiO C , St=T:...t
V T-14NOUR_L�ENDEI CtRaANi•A�TFOR I Y f3:E Oft Fr: , B `M:'
f2�COJ�D1P:l'G,Y�Ul2`LfMfC' OFi#MII11tV�lfl'CCEMENT.
LORtnA"t1RAT'( . :• '17a33 .., - - : ... . .. ..:. . . _ ...,. , .. .: -�.. . .. < - -, ..: . _...__. _ ._ .. _.. .._..
OW 4EW0R=AGENT, ' .CONTRAC'FO m this ur
SU b da nd�yuvb ot�:a rmed bsfore�tne`thr siI cntt rid by • :rz4° {;u �..
W s/ p.ersc nally known to me or hasmave pro rtomduced is/ on I nowne oMtias/tzave prbduoed}''
`c& — as,identiflcation. i 2 r:asiid
Notary Public 4W ;Notary Piiblic��
Commi sl No. _ Co ssicn
E 1 EN BODES . .. .. : .... ... .. . . . ... . -
jkr_O
Name of Nos�iatlh .Na ero 2ar1+� �+'
*' Ex ores December 12,2022 E�INE gOGES
•°rip�;°¢ BadeditNJMJFainlnsurance1*3b578i9 ?' ,, Commission Go276457
A.,aF np Ores December 12.2022
Bonded They Troy Fain Insurance M.38"r7019