HomeMy WebLinkAbout20-49 = e$ D
City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000049-2020
`'`` �;`• '�` Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 05/04/2020
Permit Type: Building General (Residential)
Property Number Street Address
02 26 210260 000001480 38722 Remora Ave
Owner Information Permit Information Contractor Information
Name: SLEEPY HOLLOW MOBILE HOME Permit Type:Building General(Residential) Contrac r: MARTIN ELECTRIC
ESTATES Class of Work:Electric Service Replacement/M
Address: 38615 Lansing Avenue Building Valuation:
ZEPHYRHILLS,FLORIDA 33542
Total Fees:$50.00
Phone: Amount Paid:$50.00 ✓
Date Paid:05/04/2020
Project'Descri ption.
REPLACE 200 AMP SERVICE&POLE
Application Fees
Electrical Permit Fee $50.00
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 SIGNATURE PE IT OFFICE
PERMIT EXPIRES 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 rax-o Ia-rou-vvc
Building Department
Date Received - Phone Contact for Permitting
Owner's Name Sieepy&now Mile ome Ls_ 4erowner Phone Number
Owner's Address 8 6 S yl 1 v�j n G Owner Phone Number
• 33,5U Owner Phone Number
JOB ADDRESS 3 2. KenorotAve, LOT# 105
SUBDIVISION I Sleepy GQ 01 0W PARCEL ID# V�- +� QC)' I0-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CON5TR 8 ADD/ALT SIGN 0 DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR C] COMM OTHER
TYPE OF CONSTRUCTION O BLOCK
/� Q FRAME STEEL
DESCRIPTION OF WORK Q Q C e 20o arnaS IrV ,,cp, d D l e-
BUILDING SIZE i SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ � r AMP SERVICE Aoa E�Q DUKE ENERGY a W.R.E.C.
PLUMBING
MECHANICAL VALUATION
$ A UATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY u OTHER l �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
/�
��r..,,. /+
ELECTRICIAN •- COMPANY C{ rn a(GC r' it,, e,
SIGNATURE REGISTERED Y! N FEE CURREP I Y/N
AddressFMV3352.6 License# 166130013 93
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP I Y/N
Address License#
MECHANICAL _ COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_J FEE CURREP 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/Jarge 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 The undersigned understands thafthis permit may be subject to"deed" restrictions"
which may be more restr i ictive than County regulations. The undersigned assumes responsibility for compliance,with any
applicable deed restrictions. 1:
UNLICENSED CONTRACTORS AND CONTIR I ACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licens e*d in accordance with state and local regulations. If the
contractor is not licensed as required by law, b[oth 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 1contractor 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. I
TRANSPORTATION IMPACT/UTILITIES IMPAII,I AND RESOURCE RECOVERY FEES: The' undersigned understands
that Transportation Impact Fees and Recourse llecovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of ex:lstiQg 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 po,I wer 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, Fl6rida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that 1, the applicant, have been provid I ed with.a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Dep6rtment of Agriculture and Consumer Mairs. 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.j
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 rOulations; and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other qovernment 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 Bavheodn, VVoUond Areao, Altering
Watercourses. /
. - Army Corps ofEnginee .
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVeUs, Wastewater Treatment,
Septic Tanks. |
- US Environmental PnotactonAgen y-Asbestos abatement.
- Federal Aviation"""/w.tv-,.v//=uru.
| understand that the following restrictions apply bothe use of fill:
- Use offill is not allowed in Flood 2dnmWp unless expressly permitted.
- If the fill material is to be used in Flood Zone ^A'', it is understood that a drainage plan addressing o
.compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State of Florida. . i I .
- If the fill mohoha| is to be used in Flood Zone ^A^ in connection with a permitted building using stem xva||
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 adjacentproperties, 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 provisionsof the technical d shall issuance of a permit prevent the Building Official from thereafter
FAILURErequiring 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 c!ornmenced 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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. I as identification.
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
Notary
p�ublio Notary Public
Commission No. Commission
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
|
-Marti* a Electri* c- , lnc-
-Insured -Licensed -Bonded
P 0 Box 437 - Dade City, Florida 33526
14801 10t"Street - Dade City, Florida 33523
PH (3352) 52 1-3).'319 Fax (352) 521-0297 LIC#EC 13 0013 83 email - john@MM-titielectriCfl.coni
PROPOS ALA
Date: 2/19/2020
Attn: Al,Stewart S 9 Ho
a,6
309-883-0115 019- 00 000 —
Sleepy Hollow Mobile Home Park
38741 County Road 54
Zephyrhills, FL 306 Q00 —
Office: 813-782-1111
Job: Replace service pole Lots 105/104
1) Demo existing equipment,
2) Install new.concretepole
3) install new groun'ding,,per code
4) Install new 2'gang meter pack
5) Install 2 new weatherproof panels with main breakers.to feed existing houses. Allow for J-box
to be installed below new panels to extend wi4s'feeding houms'to new mains if needed
6) Pull permit
7) Schedule 'power company and inspection,
Total price: $2,050.00 Terms: 100% upon completion
Notes:
1) No power company fees included
2) Existing.wiring to homes to be reused as is —add j-boxes, and taps at services if needed to
reach new mains
3) Power will be off all day each time we change out
Authorized Signature: Date:
John B. Kinsman
Owner
Residential - Commercial - Industrial
r ;
s D
City Of ZephyrhiliS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000050-2020
Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 05/04/2020
Permit Type: Building General (Residential)
Property Number Street Address
02 26 210260 000001040 38718 Remora Avenue
Owner Information, Permit Information- Contractor Information
Name: ERIC&SANDRA KALSEY Permit Type:Building General(Residential) Contractor: MARTIN ELECTRIC
Class of Work:Electric Service Replacement/M
Address: 38718 Remora Ave Building Valuation:
ZEPHYRHILLS,FL 33542
Total Fees:$50.00
Phone: Amount Paid:$50.00 K
Date Paid:05/04/2020 a/
Project Description
REPLACE 200 AMP SERVICE&POLE
Application Fees
Electrical Permit Fee $50.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit;there may be additional restrictions applicable to this property that
may be found in the public records of this county,and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
4
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN G MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application rax-o i o-i ov-vvi i
Building Department
Date Received Phone Contact for Permitting F(
......... rrrrrrTTTTrr= ........................
Owner's Name I'C' Ka I S"e v Owner Phone Number
Owner's Address 7 18 Rem "ora ve
Owner Phone Number A ,
Owner Phone Number
JOB ADDRESS SA C. LOT
SUBDIVISION Sleepy H:pijow I PARCEL ID#102-26*' 0 - 0000O- 10 40
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR R ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK Replace 200 amp sepo'ce, PD1 e,
BUILDING SIZE SQ FOOTAGE= HEIGHT L_
iiiiiiiiiH ...I...I—. I.......I.............
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
I_V�ELECTRICAL $ 110 AMP SERVICE A^ DUKE ENERGY W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
I!I i I I i I o I i i v i 1 2 1 1 1 1 111 v 1 1 1 1 1 k 111 i 1 1 1!1 1 i I l P 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1
BUILDER _� COMPANY 1
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_�J
Address License#
ELECTRICIAN COMPANY �Qoin fal Pc+r I'C,
SIGNATURE REGISTERED Y/ N I FEE CURREN 1-Y/N
Address 37 0-oda—G49 R 33526 License# I EC 1,30013-t?,3
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/ NJ FEE CURREN
Address I License# 7
HHHHi I I I L4 I I I I I I I I I I I I I I I 1 2 1111111111111111111111111111111111111111111 111111111111 1 1 i I i 1 2 11 f I I I I I I I I I I I I I I 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 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 wl 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.
4T.14=T-1................ ........... ........
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 unde'rsigned understands t.hat'this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for cornpliance 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, 6oth 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 al 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 isl'not properly licensed and is not entitled to permitting privileges in Pasco
TRANSPORTATION IMPACT/UTILITIES IMPACT
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
nauex/mg a "certificate or occupancy" orfinal power release. If the project does not involve certificate of occupancy or
final power release, the fees must be paid pri?,r 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, F1 I o' rida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that 1, 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 commencementl
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 6nd 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 �egulations, 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 i take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protbction-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida VVohar Management Oistrict-WeUs. Cypress 8myhmada, VVntiand Aneaa, Altering
Watercourses. I
- Army Corps ofEngineero'Seavva||s' Docks, Navigable Waterways.
- Department ofHealth & Rehabilitative Services/Environmental Health Unit4WeUs, Wastewater Treatment,
Septic Tankn.
- U8 Environmental Protection Agency-Asbestos ababamanL
- Federal Aviation Authority-Ru .
| understand that the following restrictions apply to the use offill:
` ' Use of fill io not allowed inFlood unless expressly permitted.
' \f the fill material is to be used in Flood Zone ^A^, it in understood that a drainage plan addressing a
.compensating volume" will be oubmitted'otUme of permitting which is prepared bvaprofessional engineer
licensed by the State mfFlorida. i
- |f the fill material is to be used in! Flood Zone 'Y\^ 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 a nly area, | certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent propediaa. the owner may be cited for violating
' the conditions of the building permit issued under the attached permit application, for lots |emo than one (1)
oone which are elevated by fill, an engineered drainage plan iorequired.
If| am the AGENT FOR THE OWNER. | pnomimm in Qood faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction! | understand that o separate permit may be required for electrical work,
p|umbinQ, migns, wells, pools, oirconditioningi. 0ao, or other installations not specifically included in the application. /\
permit issued mho|| be construed to be m license to proceed with the work and not as authority to vio|ete, canom|, a|tar, or
set aside any provisions of the technical codes, nor shall issuance ofo 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 sixmonths of permit iseuanma, or if work authorized by
the permit ia suspended or abandoned for a periodof six(8) months after the time the work incommenced. An extension
may be mequmsbad, in vmiUng, from the Building Official for e period not to ennead ninety (AO) days and will demonstrate
justifiable cause for the extension, If work ceases for ninety(90)consecutive days, the job is considered abandoned.
I
WARNING TO OWN YOUR R
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 OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
w.`v`siam pe,onva\yxnnwn to moor has/have produced Who|otana personally known to me o,oummove produced
as monm8na8vn. asmenVfioaoon.
Notary Public Notary Public
!
Commission No, Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
|