HomeMy WebLinkAbout20-789 t' V
lLOfllOfl City of Ze h rhills PERMIT NU _ ER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000 89-2020
Phone: (813)780-0020
Fax: (813) 780-0021 Issue Da : 09/24/2020
Permit Type: Building General (Residential)
Property Number Street Address
1126 21 0010 09900 0010 5435 Gall Boulevard
Owner Information Permit Information Contractor Information
Name: 5435 GALL BLVD LLC Permit Type:Building General(Residential) Contractor: ON-LINE ELECTRIC
Class of Work:Electric Service Replacement/
Address: 5435 Gall Blvd Building Valuation:
ZEPHYRHILLS,FL 33542-6602 Electrical Valuation:$50.00
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$50.00
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:9/24/2020 2:57:31 PM
Project Description
SAFETY INSPECTION RELEASE 1ST FL
Application Fees
Electrical Permit Fee $45.00
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 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 permit 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 add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACT R SIGNATU PE IT OFFICE
PERMIT EXP S IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�. 813-780-0020 City of Zephyrhills Permit Application Fax s1a-7saoa21
Building Department
Date Received 1_ _)_�o I Phone Contact for Permitting . �� - 7 3L_
Owner's Name R ,.. �' Owner Phone Number '
Owner's Address l,7 V ;Owner.Phone Number: ( 7. --
Fee Simple•TitleholdeeName Owner Phone Number �.._ .
Fee Simple Titleholder Address
JOB ADDRESS LOT# '
SUBDIVISION �- . PARCEL:ID# .
(OBTMNED:FROM.PROPERTY TAX,NOTICE),
WORWPROPOSED •NEWCONSTR ADD/ALT SIGN [ DEMOLISH..
e INSTALL 8 REPAIR
PROPOSED USE Q SFR ' 0 COMM 'OTHER .:.°
TYPE OF CONSTRUCTiON' Q BLOCK 0 FRAME [ STEEL 0
DESCRIPTIOWOF WORK. 1
BUILDING:3tZE . -So FOOTAGE HEIGHT
"BUILDING.. $ VALUATION OF TOTAL CONSTRUCTION.
AMP.SERVICE;:- CJ PROGRESS,ENERGY W.R.E.
0 C,.. .,.
ELECTRICAL $ .••� - ,
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING [ SPECIALTY- ;;OTHER ( .✓6y
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO
BUILDER COMPANY '
SIGNATURE REGISTERED Y%..N `= r." FEE'CURREM1
Address ' . License#;� .
ELECTRICIAN` `COMPANY .
SIGNATURE v REGISTERED Y/•N` .FEE,C,URREM1 /' :YIN._,. •
Address License#{ t`,.
PLUMBER COMPANY .
:'SIGNATURE REGISTERED Y/:N,-. FEE.CURREM1: Y.L N`•
Address License# ('
MECHANICAL COMPANY
SIGNATURE REGISTERED Y7 N FEE CURREs. Y'7 N'
Address 'License:#,' ','
OTHER. COMPANY r
SIGNATURE REGISTERED Y/'N,: . FEE CURREM1
Address. F7 `License#,
Hoffi
RESIDENTIAL Attach 2 Plot Pians;'2'sets of Buildin Plans;• 1. set'of 6r Forms;R=O=tN"Permit•for.new
:. . .
O O .g,.. ;:.: .) gY: construction, ..
Minimum ten(10)working days after submittal date. Required onsite,`Construction Plans,-Stormwatee Plans w/Silt Fenae�iristailed;:_
Sanitary Facilities&1 dumpster;Site,Work Permit for subdivisionstlarge.projects
COMMERCIAL Attach(2)complete sets of::Building Plans:plus a Life So,fety Page;(1)set of Energy Forms.:R-O-W_Permit for,new construction.;
Minimum ten(90)working days after submittal date."f ei libel onsite,Constriction P1ans,:Stbrmwater Plans-W/Silt Fenc0ristalied,
Sanitary Facilities&'1 dumpster.'Site-Work;Perm(t for all-new-projects.All commercial-requirements must meet.compliance
SIGN PERMIT Attach(2).sels of Engineered Plans.
""PROPERTY SURVEY:required for all NEW:construction.
Dlrectlons:
Fill out,application completely.
Owner&Contractor sign.back of application,notarized
If over$2500,a Notice of.Commencement is required...(AfC 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 Sealers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Nat over Counter if on public roadways..needs ROW
f`
NOTICE OF DEED RESTRICTIONS: The undersigned understands that-this permit maybe subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed,restrictions.
UNLICENSED CONTRAdTORSiAND'CONTRACTOR RESPONSIBILITIES: lUthe:-own e*r,,.has--hired t a-,contractor-or
contractors-to undertake work,.they may be required:to be:iicensed in.accordance with state and local regulations., If the
contractor"is not licensed as required by law, both the-owner,and-contractor-may-ber-01ted-4br-*a-misdemeanor violation
under state.law. -.1f,the.-owner or,intended contractor are uncertain as to what-licensing requirements may applyforAhe
intended work, they are advised to contact the Pasco County--building,.-In'spection Division—Licensing Section at 727-847-
8009. Furthermore,.if the owner haslWred a-contractor or contractors, he is advised to have the contractors) 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 bean indication that he is not properly-licensed and is not entitled to-permitting-privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES'IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees-and-Recours&Recovery-Feea.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
90-07i.as amended: The-undersigned-also understands,.thait-suchfees,.as may, be.due, will be identified at the.time of
permitting. It is further'undetstood'th6t:Transportation-Impact Fees and Resource Recovery:Fees must be paid.prior to
receiving a"ceriificiteof.loccupancy"o'.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,,ff-'Pasco County.Water/Sewer Impact
fees-are due-they-must be paid-prior to permit-issuance in abcordance;with applicable Pasco County ordinances.,,
CONSTRUCTION LIEN-LAW'(Chapter 711-3;Florida Statutes, asarnended),Af valuation of Work'is$2,5.00.00 or more, I
certify-that-I,-the applicant,-have-been--provided.with a..copy-of.the.."Florida,,Construction.Lien ,Law—Hbmeownet'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 obtaineda copy of-the above described document-and-prom ise"in good'faith to
deliver it-to the"owner":prior to commencement.
CONT,RACT-ORISIOWNERIS:AFFIDAVIT:'.I'dertify that all the information,in.1his application is accurate-and that-all work
will be done in compliance with I all applicable- I laws regulating construction, zoniho.drid1and development. Application it,
hereby made to obtain a permit to do work,and Installation:as indicated. .1 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-Aevelopment-re&latidns 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. Sucha e cies-,include but are not limited to:
g..n
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and,Environmentally-Sensitive
Lands,Water/Wastewater,Treatment.
- Southwest Florida Water "Management District-Wells,' 'Cypress Bayheads, Wettand Areas; Altering
Watercourses.
- Army Corps,of Engineers-Seawciflt;Docks,:Navigable-Waiterways-
- Department of Health & Rehabilitative Se%vices/Ehvironmental.-Health-..-Unit;;Wells, Wastewater Treatment,
Septic Tanks.
US iEnvironmental;Protection-Agency:7Asbestos abatement.
Federal'Aviation Authority4RUnways..
I understand.that the following restrictions apply to the use of.fill: .
Use of-fill is not allow6d,im-Floo'd-26ne"V"UnIest:expressly permitted.
If the fill material is,to be used-In Flood Zone. W, it is--understood that a drainage,:,plan-"addressing a
"compensating volume"-wilI:tb&.submItted,'at time of permitting which-is prepared by a professional,engineler
licensed by the Staite"of Florida.
If.the fill.,material is.to be used,.In Flood.Zone-!A"Jn--connection with a permitted building using stem,.wall
construction,1 certlfythAi�fill will be-used-only tofill-thearea-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 offiii is.found to-adversely'affect:adjacent properties, the,owner may.belcited for violating
the conditions.of the buildifid'.permit issued-.under the-attached,perm It-application-, for lots-less.than one (1)
acre,which,are-elevated,:by.-.fill,.an engineered drainage plan-Is required.
If I am the AGENTfORtHE OWNER, I promise in f6ithtto,informthe owner of,the�pprmitt.ing.conditions,set forth in
this,affidavit.prior to commencing construction. I understand-that-a,separate'permit-,may,be're4uired,for-electrical work,
plumbing,-.signs,:.wells,-pools--oir_60ncii#jdnin ,,,.gas, or other-installations-not.specifically-included in the application:: A
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permit,issued shall be construed to be a license to proceed with the work and notas authority to.-Viotate, cancel; alter, or
set aside any-provisjons-of the,11pphnical-codes;7nor shall.issuance of a permit prevent the Building Official fromthereafter:_
requiring-a-correction of-errors,in plans, construction or violbtibnsof any—codes::Every-permit.issued.shall become invalid: z.
-
unless the work authorized by such.--permit is commenced within six months of permit issuance, or if'wotk-authorized by tf
the permit-is suspended-or-abandoned-for a-period of.six(6)'months-after-the:time-theworkjs commenced.,-An extension
may be requested,-in writing, from the Building Official for.a,period not to exceed ninety.(90) days and will -demonstrate
M
justifiable cause foe.,`thb,extension. -Ifwork-eaasesJor;ninety(90),c6nsec.utive days,the job is considered abandoned.
WARNING TO--OWNER: YOUR FAILURE TO%RECORD A NOTICE OF COMMENCEMENT MAY RESULT:IN YOUR
PAYING TWICE NTS,TO`YO
U;R*PROPERTYIF
Y OU I TE
N D TO-O
B 0.CON§ULt
WITH ORNEY�F �E, ECORD' 1Q OURN T,CE OF COMMENCEMENT:"
CONTRACTOR
)r&,me.this Subscribe and swmto(or affi
nebef0 by by
Who Islare personally known to me or hasthavd produced Who itMre-persohailly'known to me or hits/Wve produced
as Identification. as-identification.
Notary Public Notary.Public-
Commission No Commission:No..
Name of Notary typed,printed or stamped Name of Notary-typedi-printed or stamped