HomeMy WebLinkAbout20-22672 CITY OF ZEPHYRHILLS
5335-8th Street
(813)780-0020 22672
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22672 Issued: 3/25/2020 Address: 6616 WIRE RD LT 45
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: 400.00 Total Fees: 45.00 Subdivision: SLEEPY HOLLOW MHSUB DIV
Amount Paid: 45.00 Date Paid: 3/25/2020 Parcel Number: 02-26-21-0010-04500-0000
CONTRACTOR INFORMATION - OWNER INFORMATION
Name: MARTIN ELECTRIC Name: SLEEPY HOLLOW MH ESTATE
Addr: PO BOX 437 Address: 38615 LANSING AVE
DADE CITY, FL. 33525 ZEPHYRHILLS, FL 33542-6312
Phone: (352)521-3319 Lic: Phone: 813-782-1111
Work Desc: REPLACE BROKEN METER POLE
APPLICATION FEES
ELECTRICAL FEE 45.00
S ECTI S.REQUIRED
ROUGH ELECTRIC
CONSTRUCTION POLE `
PRE-METER
FINAL 30
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.
�_9ftV01j/o
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-813-780-0021
Building Department
Dale Received ] phone Contact for Permitting --
Owner's Name JIeeV114 Owner Phone Number O
Owner's Address _ Lc-knsiiic,
2 Owner Phone Number
C 3 ,�1 Owner Phone Number
Fi
___1
JOB ADDRESS LP V '
wxr-e- FL- �t I� LOT# O
SUBDIVISION
� I PARCEL ID# (72- 2-6 DOO6
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR H
ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER d
TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL
DESCRIPTION OF WORK ravicice ro k eA Ma+Q_r pola
BUILDING SIZE SQ FOOTAGE= HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ECTRICAL $ 4DO
AMP SERVICE 1pb JEE� DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
\ FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address M License#
ELECTRICIAN COMPANY ' V a� 1 1(� l'��C� 1 CJ C--.,
SIGNATURE `� [ lJ(/ REGISTERED Y/ N FEE CURREN
Address �' c3�, �J a ��J� License
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/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 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 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 after submittal date. Required onsite,Construction Plans,Stormwater Plans 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. (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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may ba more restrictive than County regulations. The undersigned assumes responsibility for compliance xviffli-mly '*
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance wit h state and local regulations. If the
contractor in not |imanomd as required by law, both the owner and contractor may bacited fora 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. Furthmrmora, if the owner has hired a contractor or contractors, he ,is advised to, have the contractor(a) 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 on 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 F000 may apply bn the construction ofnmvv buildings, change of
use in existing buUdingo, or expansion oY existing buildings, an specified in Pasco County Ordinance numnber89-O7 and
90-07. as amended. The undersigned also umdarotands, that such feeo, as may be due, will be,identified at the time of
permitting. |tie further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power release. If the project does not involve o oedUDcaba of occupancy or
final power re|easa, the fees must be paid prior to permit issuance. Furthermore, if Pasco CounhyVVator/Soxvmr Impact
fees are due, they must be-0 idpriorbmparmitionuanneinoroordanmovvdhapp|ioab|ePoscoCountyordinanoea.
CONSTRUCTION LIEN LAW(Chapter 7Y3. Florida Statutes, as amended): |f valuation of work io $2.5O0.00or more, |
certify that |, the epp|imant, have been provided with e copy ofthe "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant iosomeone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itbo the^owne"prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all vvmrh
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. | certify that no work or installation has
commenced prior to iemuonma of permit and that all work will be performed to meet standards of all laws regulating
conatruotion. County and City codes, zoning regulations, and land development regulations. in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
mny responsibility to identify what-actions | must take hobe|ncompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayhemde, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
' Southwest Florida Water Management District-Wells, Cvpnsan Bayheada, VVat|ond Apeme, Altering
Watercourses.
' Army Corps ofEnQinmeno-GeoxvaUm. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit4We||e, VVostmvxabar Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runmayo.
| understand that the following restrictions apply tm the use offill:
- Use of fill is not allowed in Flood Zone^V°unless expressly permitted.
- |f the fill material is to be used in Flood Zone ^A", it in understood that o drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A^ in connection with a permitted building using stem xvoU
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, | 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 isrequired.
|f| amthe 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. | understand that oapanaha permit may be required for electrical work,
p|ummbing, aigns, xvaUs, poo!e, air cmnditioning, gao, 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 mix months of permit iuouonoe, 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 pequmohad, in writinQ, from the Building Official form period not to exceed ninmty (QO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING T0OWNER: 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.
OWNER cR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworrLLo(or affirr4eV)before me this
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. asidonVOoaUun.
otaryPublic NotaryPuWw
Commission No. Commission No.