Loading...
HomeMy WebLinkAbout20-22553 CITY OF ZEPHYRHILLS 5335-8th Street / (813)780-0020 2553 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:22553 Issued: 2/26/2020 Address: 5543 11 TH 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: 5,000.00 Total Fees: 65.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 65.00 Date Paid: 2/26/2020 Parcel Number: 11-26-21-0010-10300-0080 CONTRACTOR INFORMATION OWNER INFORMATION Name: PATTIE ELEC. & REFRIGERATION Name: SHARMA ROSHNI Addr: 39111 PATTI RD Address: 38541 8TH AVE -HISTORIC ZEPHYRHILLS, FL. 33540 ZEPHYRHILLS, FL. 33542 Phone: (813)782-3319 Lic: Phone: (813)782-3319 Work Desc: 200 AMP SERVICE PANEL CHANGE OUT APPLICATION FEES ELECTRICAL FEE 65.00 � I 01 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. ONTRACTOR 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 Received February 25, 2020 Phone Contact for Permitting ( 813 ) 782 -- 3319 1 ItaIIaI 11 € & Itax Owner's Name Frank Martini Ishaimei ,&TA,, Owner Phone Number (813) 782-3319 Owner's Address 4200 W Century Blvd, Inglewood, CA 90304-1618 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5543 11th Street, Zephyrhills, FL 33542 LOT# SUBDIVISION PARCEL ID# 11-26-21-0010-10300-0080 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR H ADD/ALT 0 SIGN 0 DEMOLISH INSTALL REPAIR PROPOSED USE SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK Service Changeout- 200amp service panel BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ®ELECTRICAL $ 5,000 AMP SERVICE 200 XD PROGRESS ENERGY W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING F—] SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ffiiffiffopti BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY Pattie Electric & Refrigeration SIGNATURE REGISTERED 1 00/N FEE CURREN I O/N Address 39 1 Pattie Rd, Zephyrhills, FL 33540 License# I EC0001268 PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# it atilt all Iii'f #.[ II gifts at III-Flit f11II1 € 11allilla Y�.�"II # ttltlf4l€tlf.It €`It-1€ €_I : RESIDENTIAL Attach(2)Plot Plans; (2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpsier;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of BuilflIfte Life r ty Page;(1)set of Energy Forms. R-O-W Permit for new construction. Minimum ten(10)working days aEfteIueM*Atal]date u d onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpste&Mtd I1dWoF1'IP it f 'atCr� projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Pog. 'v br ****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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department NOTICE 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 applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired`a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law,both the 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 requirements 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 to have the contractor(s)sign portions of the"contractor 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 AND 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 buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also 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 to permit issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they 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 I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do work and installation as indicated. 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, 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 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, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation-Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W" 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 fill 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 used 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 use of fill is found to adversely affect adjacent properties, the owner may be 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 engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise 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,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, alter,or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced 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 time the 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. 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 RECO13Q_INGCE M'COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and swor (or affirm d)before me this by 2/25/2020 by n Pattie as Owner Who is/are personally known to me or has/have produced Who is are personal nown to me or has/have•produced as identification. Florida Drivers License as identification. Notary Public Notary Public Commission No. — _ Commission No. GG907331 Daniel Corona Name of Notary typed,printed or stamped Name of Notary ty ed, printed or stamped �MO mdidl�UlAi101 INSTR#2020045762 OR BK 1 0070 PG 1195 Page 1 of 2 03/13/2020 02:11 PM Rcpt:2144896 Rec:18.50 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No. ParcellDNo 1 1-26-21-001 0-1 0300-00 8 0 NOTICE OF COMMENCEMENT State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement 1. Descriptlon of Property: Parcel Identification No. 11 26-21-0010-10300-0080 Street Address; 554311th Street,Zephyrhiils,Florida 33642 2. General Description of Improvement Service Changeout-200amp service panel 3. Owner information or Lessee Information Vthe Lessee contracted for the Improvement: Sharma Roshni 4200 W Century"Od Inglewood CA _ Address City State InterestinProperty: • OWner Name of Fee Simple Titleholder. (If different from Owner listed above) 4. Cdress ontractor. Pattie Electric&Refrigeration city scats 39111 P t ie Road Zephyrhilis FL Address city State Contractor's Telephone No.: (813)782-3319 5. Surety. Name Address City State Amount of Bond: $ Telephone No.: 5. Lander. Name Address city State Lander's Telephone No.: 7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7),Florida Statutes: Name Address City State Telephone Number of Designated Person: S. In addition to himself,the owner designates of to receive a copy of the Lienoes Notice as provided In Section 713.13(1)(b),Florida Statutes. Telephone Number of Person or Entity Designated by Owner. - S. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the contractor,but will be one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE'OWNER'AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER713.'PART1, SECTiON713.13, FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. iF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECO ING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing en nt and that facts slatLtl therein are We to the best of my knowledge and belef. , .r STATE OF FLORIDA COUNTY OF PASCO % '' Signature of er or Lessee.A Owners or Lesseab Auth rued rOftIcer rtPartnarltvla ar SlgnatorysTrtle/Office The foregoing Instrument was acknowledged before me this day of .20_,by as (type of authority,e.g.,officer,trustee,attorney in fact)for (name of party on behalf of whom Instrument was executed). Personally Known[)OR Produced Identification Notary Signature Type of Identification Produced Name(Print) OR BK 1 0070 PG 1196 Page 2.of 2 CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of w' q'�t On W 11 t 2020 before me, a(�L Lt40�q f 00-kr 1 � C Date ` Here Insert Name and Title of the Officer personally appeared ill `� NCO[ Name(s) of Signer(s) who proved to me on the basis of satisfactory evidence to be the person(, whose name(o is/afk subscribed to the within instrument and acknowledged to me that he/sIA/tt4y executed the same in his/4r/th fir authorized capacity(i96),and that y his6h r/th&r signature04 on the instrument the person(s)� or the entity upon behalf of which the person) acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. TARA LUONG �w Notary Public.California Z Los Angeles County A Commission#2280154 Signature My Comm.Expires Mar 9,2023 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document Description of Attached Document j /ts Title or Type of Document: �JQ�►c a OT b l'�i"nPV1�2fY1 P.Alocument Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s). . Signer's Name: Signer's Naive: ❑Corporate Officer — Title(s): ❑Corporate Officer — Title(s): ❑Partner — ❑ Limited ❑General ❑Partner ❑Limited ❑General ❑ Individual ❑Attorney in Fact O'Individual ❑Attorney in Fact ❑Trustee ❑Guardian or Conservator ❑.Trustee. ❑Guardian or Conservator ❑Other. ❑ ,Other; Signer Is Representing: Signer Is`Representing: . ©2014 National Notary Association -www.NationalNotary.org - 1-800-US NOTARY(1-800-876-6827) Item#5907 state Of Florldal County Of Pasco DI This is to certify that the foregoing is a true and correct copy of the document on file or of public record in this office. w* y hand and official seat this Ani 2 0 —b7 Way of —0 Nikki Alvarez-Sowles,Fsq.,Clerk&Comptroller Pas—P-01inty,Florida By e uty Clerk -1897 V