HomeMy WebLinkAbout20-969 D
► ► City of
f Zhhill PERMIT NU MBE
:s». R'
p " 5335 Eighth Street
-' Zephyrhills, FL 33542 ELCMISC-000969-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 10/28/2020
Permit Type: Electric Service Replacement/Misc
_ .P�oper,,INulmber i 3 6: _ Street AddTr ss "''
02 26 210010 05000 0030 6579 Ambassador Loop
w, __ Ownerinforrnation, Ism _#� Permit`Information $Contractor Infmation
Name: SLEEPY HOLLOW MOBILE ESTATE Permit Type:Electric Service Replacement/M Contractor: MARTIN ELECTRIC
INC Class of Work:Add/Alter Residential
Address: 38632 Remora Avenue Building Valuation:$0.00
ZEPHYRHILLS,FLORIDA 33542 Electrical Valuation:$930.00
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$930.00
Total Fees:$45.00
Amount Paid:$45.00 !/
Date Paid:10/28/2020 8:57:41AM
REPLACE POLE&METER CAN
Application FeesItj, Ya r °"
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Electrical Permit Fee $45.00 a
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
C L�
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
4 ,I
813-780-0020 City of Zephyrhills Permit ApplicationZA,V Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
1 '
Owner's Name 3',(_Ownler Phone Number
Owner's Address V_V1 U--t Owner PhoneNumber
'Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS FCZ_7q LOT
SUBDIVISION. PARCEL ID# 02-AP-11 -c0to _015000 '00-3t>
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTRF7 ADD/ACT SIGN DEMOLISH
e !NSTALL F-] REPAIR
PROPOSED USE F__] SFR 0 COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK 1Q FRAME 0 STEEL
DESCRIPTION OF WORK RwUt,
BUILDING SIZE SQ FOOTAGE HEIGHT
ft iL ft M IL k M IL AL-L C X.C-11171VIE-WX
=BUILDING VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL UD AMP SERVICE PROGRESS ENERGY W.R.E.C.
'�o
=PLUMBING L.
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
@gaff -6990 0 04 9 -666*66 9 6*it 66 a off
BUILDER COMPANY
SIGNATURE F I REGISTERED FEE CURREN
Address License# F
ELECTRICIAN COMPANY v-\ E-4 rC� Lc_ -Lr\
SIGNATURE Rua &Tna/�, i REGISTERED Y/N FEE CURREN Y/N
Address C) Goy-V�-1, _,�)Cx� e 'K,�i -3 '�1, License# 1 E(--t?)C>0
PLUMBER tPANY'
SIGNATURE REGISTERED Y/N FEE CURREN y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
Address License# F7
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN
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,Storrnwater 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 -6f'Erfgineered Plans—_
PROPERTY SU RVEY'required,for all NEW construction.
4 4 %iffisse Giese-6-- 6-S-0-0-so
Directions:
Fill out application completely.
Owner&Contracibr'sign-,back of application,nptanzed
If over$2500,a Notice of Commencement Is requlreid.'tke'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
Building Department
NOTICE OF DEED RESTRICTIONS:The undersigned understands that this permit may be subject to"deed"restrictions"which may b4more restrictive
than County regulations.The undersigned assumes responsi�illty for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESP,ONSIBILITIES:If the owner ha�hired a contractor or contractors to undertake work,they
may be required to be licensed in accordance With state and J!ocal 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 contadihe Pasco County Building Ins ' tion 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 Feels 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 pe'ri'miffing.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 Co6r nty ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida�Statui6s,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—Homeowners Proteition Guide"prepared by the Florida Department of
Agriculture and Consumer Affairs.If the applicant is someon"e other than the"owner", I certify that I have obtained a copy of the above described
fit
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 landl6veiopment.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 ofall
laws regulating construction,County and City codes,zonin'19'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 al're not limited to: i
Department of Environmental Proiection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, WaterAlVastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress- Bayheads, Wetland Areas, Altering
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilihative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection/
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the 1.14,of fill:
Use of fill is not allowed in Flood Zone"W unless expressly permitted.
If the fill material is to be usedl' in Flood Zone "A", it is understood that a drainage plan addressing a
compensating volume" will be ubmitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida. Ij i
If the fill material is to be used 1 1 n Flood Zone "A" in connection with a permitted building using stem wall
construction, / 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 adjacen' t 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'l engineered drainage pla in is required.
If I am the AGENT FOR THE OWNER,I promise in good�faith to inform the owner of the'Oermitting conditions set forth in this affidavit prior to
commencing construction.I understand that a separate p,"ermit 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 provisip"ns of the technical codes,nor s hall issuance of a permit prevent the Building Official from
thereafter requiring a correction of errors in plans,const�'iuction or violations of any codes'.Every permit issued shall become invalid unless the work
authorized by such pennit is commenced within six months of permit issuance,or if workl authorized by the permit is suspended or abandoned for,a
period of six(6)months after the time the work is comme''riced.An extension may be requested,in writing,from the Building Official fora 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
WARNING TO OWNER: YOUR FAILURE 10 RECORD A NO I ICEE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEN12ER OR AN ATTORNEY 15EEQRE REORDING YOUR NOTI COMMENCEMENT,
OWNER OR AGENT CONTRACTOk"I
Subscribed and sworn to(&�iffirmed)before me this 11 S u scribed an sworn to(or affirm, d)before me this
Who is/are personally known to me or has/have produced W o is so
as identification. WL identification.
Notary' Public Notary Public
Commission No. Commission Nd,.—
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
Commis
Expires June 18,2023
Bonded ThruTfoY Fain insurance
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