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Home My WebLink About20-1185 y m , E � City of Zephyrhills , PERM1T NUMBER - , 5335 Eighth Street �7 _ Zephyrhills, FL 33542 ELCMISC-001185-2020 Phone: (813)780-0020 ri Fax: (813)780-0021 Issue Date: 12/10/2020 Permit Type: Electric Service Replacement/Misc r - P'r`operty Number w,. ; '" 4 fi aStreetAdd�ess ,, 02 26 210020 00300 0010 6106 Lark St Owner'Information, "" '``�„ 4 Pe�rriiitlnformation w� Contractor Information Name: ZACK'S OAKSIDE MOBILE HOME Permit Type:Electric Service Replacement/M Contractor: HOMEOWNER PARK Class of Work:Add/Alter Residential Address: 10063 Oaks Ln Building Valuation:$0.00 SEMINOLE,FL 33772 Electrical Valuation:$500.00 Phone: (256)509-6422 Mechanical Valuation: Plumbing Valuation: /t Total Valuation:$500.00 A61S Total Fees: G " Amount Paid:d:$45.$45.00 Date Paid:12/10/2020 12:15:16PM Pr jME 0.escription ELECTRICAL UPGRADE&ADD CIRCUIT BREAKER ARpli ac tionFees Win, ,, 71, - , ` 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. �E`RCONTRALTO IGNATUR PE IT OFFICE WT EX ES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-00, City of Zephyrhills Permit Application Fax-813-780-0021 Building Department s Date Received A A Phone Contact for Permitting r Owner's Name V"(ar ctv► C11aUdr I(✓(r 1 Owner Phone Number ? ' fp�ZZ- wner's Address lP��lP �l r/ S e 't- r�i I�S ,y Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address// ff [ r 7 r (� JOB ADDRESS (Q tP �R/Ij S �t r i JI ��, js T LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT �. SIGN DEMOLISH e INSTALL R REPAIR PROPOSED USE = SFR 0 COMM = OTHER eTYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = 1 L !DESCRIPTION OF WORK 1°C r r C� , (-( - �Q ��`" v1,c 1 a dL.�lti G"y-L, BUILDING SIZE SQ FOOTAGE= HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ �^�O AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE --- -- - - "Iv REGISTERED Y/ N FEE CURREN , Address License# ELECTRICIAN�° COM PANY U1 N`Q� SIGNATURE �[ f �REGISTERED / N FEE CURREN Y/N Address tod y /r. r�+! f �C 3)j� License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE t REGISTERED Y/ N FEE CURREN Y/N Address License# 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,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-0-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. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey.(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PEI.J111(ITTING (copy of contract required) Reroofs if shingles SeSi ers "'Service Upgra'd'di'"AfC-- Fences(Plot/Survey/Footage) :. Driveways-Not over Counter if od'putilic�"tdgd'ways':needs f O1N': ""�'� '�' '°'1"•'•" re:� ,it °. `'' '' A �5'CS,G't s,-;r� •- �' 4Str),"t�n:r; ,.r,. ':..,. ;.:3 r �:diJ'7nt T1i'•uL!..,� ."-^ `` ci`71-G•i:•.:'i;,;'tiJ:i�4Ji ••�'f:.:!n.J• ` 9 -. .. .. .,.a. mc,;zv,-,=.... . ...,.. -,(' - - - .r r...,u,-c..wa.,•.v...r�._. ..ra . ..,.. r . 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, 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 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.:[inpact 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, theymust be.paid prior to permit.issuancelin accordance with applicable.Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If 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—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'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 '1 commenced prior to issuance of a permit and that allwork will'be performed to meet standards of all laws regulating construction, County and City codes, zoning regulation,s, 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.tabe in compliance. Such agencies incilude but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive i Lands,Water/Wastewater Treatment. a 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'applyto the use of fill: Use of fill is not allowed iti lood 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. 1 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 maybe cited for violating the conditions of the building_.permitAssued 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 ninlety(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,INTENDTO OBTAIN FINANCING NSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE-RECORDING:YOUR NOTICE OF.COMMENCEM FLORIDA JURAT(F.S.117.03) -- -OWNER OR-AGENT - CONTRACTOR n`" i Subscribed and sworn to(or ffi!71)before i Subscribed and sworn to( affirm before me this by by Who is/ar. ersonall mown to me or as/have produced Who Ware personally k to me or has/have produce n tification. t V L, as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped CARLOS MALDONADO Es s MALDONADO 4. Commission#GG 346275 sion#GG 346275 Expires June 18,2023 June 18,2023 BondedThruTroyfaln Insurance 800 38�70t0 Yw Twy Fein Insurence 80"AW70" ;.2, DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS—BUILDING DEPARTMENT 411'a 4 444t�41 N)6", have read and fully understand and agree to the proves, bAi 4fWs'inbtrument. U The undersigned states and affirms that he or she is desirous of constructing, renovating, adding r reroofing his or her own domicile,that he or she actually occupies,or will occupy by �A nddl fo owl domicile, and same is not for rent, lease or sale. That he or she shall comply ith t e owing conditions: 1. That the owner-and he or she alone shall act as the builder for all phases of cons'truction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the,building. 3. That in the event various phases of construction are subcontracted, he will, engage only properly licensed-subcontractors and will personally supervise such work." 4. .1'That in the event the Building Inspector shall require corrections to be made, the owner will assume full, responsibility to insure they' are made, and, upon completion will call for a reinspection before proceeding with the building. 5. That the owner shall assume full responsibility for the construction,and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including rei Inspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws,etc.,where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your. property, to act as.your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may - build or improve a one family or two-family residence or a farm, outbuilding. You may also build or improve a commercial building,provided-your costs do not exceed $75,000. The building or residence.must be for"yourown use or occupancy. It may not be built or -substantially improved if for sale or lease,which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on Your building who is not licensed must work under your direct supervision and must be,employed by you, which means that you must deduct.17.1-.C.A.`brtd:withholding-tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. �WNEKSSIG ATU RE� 6-ATE /,9 -7 ADDRESS fljrff� r nt PVV L I (I-XI PHONE WITNESS PERMIT I/Masteifonns/OwnersAffidavitNovO7 N _ . _ K do bl6b Home Scent AWWe lor da Date 121,012020 To whom it may concern, The owners, Wendell and Maryanne Have McLaughlin who live at 6106 lark Street Mobile Park, work on the electric pole at their residence. I am the owner Of fl ck's O e owner of Zack`s Oakside an S. Snoke —` No ry FLORIDA INDIVIDUAL ACKNOWLEDGMENT F.S.117.05(13) State of Florida County of �C>,,��.� The foregoing instrument was acknowledged before me by means of .,Physical Presence: —OR— El Online Notarization, this day of_ b'� ��, by Date Month Year flo-�\ S. ;(\ Name of Person Acknowledging �s RYAN P.BUMAN Notary Public-State of Florida Commission M GG 986911 ` My Comm.Expires May 11,2024 Signature of Notary Public—State of Florida Name of Notary Typed. Printed or Stamped ❑Personally known &Produced Identification Type of Identification Produced: Place Notary Seal Stamp Above �L b C 1�S OPTIONAL Completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date:�aj \Q) I Number of Pages:_ Signer(s)Other Than Named Above: _ _m'-"�...�+L`_'�v`t;��3 �3�t`a�.:�'mt4?f�?�eY7�'•y'-•t��t�f.u-^2&'K_»' >ifn3'�a{�.3a�c�� -.3�.+ � (02020 National Notary Association M1304-11 (11/20)