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HomeMy WebLinkAbout20-579 .Q J F u' irutl4 City of Zephyrhills r4:PERMITkNUM6ER , 5335 Eighth Street Zephyrhills, FL 33542 BGR-000579-2020 , )., r Phone: (813) 780-0020 Issue Date: 08/17/2020 ,fI Fax: (813)780-0021 Permit Type: Building General (Residential) Property Number Street;Address 11 26 210010 17400 0010 38920 5Th Avenue Owner Information Permit Information Contractor Information Name: DAVID SANTA CRUZ Permit Type:Building General(Residential) Contractor: MR ELECTRIC OF LUTZ Class of Work:Electric Service Replacement/ Address: 38920 5Th Ave Building Valuation: ZEPHYRHILLS,FL 33542 Electrical Valuation:$4,964.00 Phone: (813)783-2085 Mechanical Valuation: CIA,, Plumbing Valuation: Total Valuation:$4,964.00 Total Fees:$64.82 Amount Paid:$64.82 P,-7 V Date Paid:8/17/2020 3:44:53PM Project Description REPLACE MAIN PANEL Application Fees Electrical Permit Fee $64.82 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. CONTRACTO GNATURE 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 Fax-813-7e0-0021 Building Department / o ( Date Received Phone Contact for Permitting :liliTZ91 ■=[ii Owner's Name #_�;�CJZY s Lt Z-, Owner Phone Number 3`��Owner'sAddress �� 4 r/r//f 3.? 2- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address y�,� JOB ADDRESS 0 -0 `� Ave, LOT# SUBDIVISION PARCEL ID# -i /7 y 0,9 —D v/c (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK S r ! t e- 6E M if A Y7 a I'C' BUILDING SIZE I SO FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ ` AMP SERVICE = PROGRESS ENERGY = W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y!N Address r License# ELECTRICIAN COMPANY reD N aeC$#RREc OF SIGNATUREFEE Address E License# -C d PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address I License# ii.■ii_ii.i.1.it.i.ii.ii_ii.ii.i.iiftiii.iitiiiiti..ifi_ii.11iiii.iiii_11i-iiiiii,ii.iiiaii.1aI 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 subdivisionsAarge 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,Stonmwater 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 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,ff 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'SIOWNER'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/WastewaterTreatment. - 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"V"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-RECORDING YOUR NOTICE OF COMM FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swornto(or affirmed)before me this S s� and sworn to(or affirmed)bef a this Y �peo by Who is/are personally known to me or has/have produced h fye pe IIyy known to me or has/have produced as identification. ` // t__ as identification. Notary Public C . Moll ceo-�"k_) Notary Public Commission No. Commissi No. Name of Notary typed,printed or stamped Name oulotirry typ d,printed or slam ed Commis on#GG 34 275 Expires June 18,2023 FOFt►°•' Bonded Thru Troy Fain lnsuranca800.31W7019 a DUNPZDIN 141 COMMUNITY DEVELOPMENT 5 PINEHURST ROAD, UNIT,F DUNEDIN, FL 34698 Home of Honeymoon Island 727.298.3210 CONTRACTOR'S LETTER OF AUTHORIZATION I, the undersigned do hereby authorize the following individual(s) to act as my agent(s) in obtaining permits in.the City of Dunedin, Florida. (Please type or print clearly) Eric Campbell NOTE: This letter of authorization must contain only the people you want to pull permits in your name. To make changes, you must submit a new letter of authorization. This authorization shall remain in effect unless cancelled in writing by the.undersigned. Luis Garcell Mr. Electric of Lutz Contractors Na e- Company Name EC13008619 t or's Sig ture License Number STATE OF FLORIDA COUNTY OF PINELLAS The instrument was acknowledged before me on this � day of ;. by Lk�k Personally Known (' Produced Identification: NOTARY PUBLIC My.commission expires: 00. Notary Pume state of Florida Hilda 8ettran My COIAM19aton GG 916949 Revised 4/8/2020 N �O' .sxpirel091:•B/2i023 INSTR#2020.140,422, 60 BK :!01165.PG,252- •'Page i,. 1 08/2k020 11:06 AM 'RMpti 2197454:Red:10.00. 178:0:00 It 00, Nikkl Alvarersowles;Esq.,Pasco.Gaurtty Clerk&Comptroller' - - • t+�:_•f�.,��t''R:=�',•0 '.t1' - en��:ra-. ji.," �:, -:�?aQ�1=11.:= - . 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