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fl �((��_ City of Zephyrhills ' `PERIVIITNUMBE_ R -"
r r tiu 5335 Eighth Street _ -�a_
Zephyrhills, FL 33542 BGR-001246-2020
Phone: (813)780-0020
Issue Date: 12/17/2020
Fax: (813)780-0021
Permit Type_ : Building General (Residential)
Property:Number Street.Address
12 26 210030 00100 0010 39023 5Th Avenue
Owneclnformation Permit fnformatiori Contractorinformation
Name: DIANA CROWLEY Permit Type:Building General(Residential) Contractor: MISTER SPARKY
Class of Work:Electric Service Replacement/
Address: 39023 5Th Ave Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:$5,250.00
Phone: (941)371-0727 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$5,250.00 /1 ✓ I r
Total Fees:$66.25
Amount Paid:$66.25 /O
Date Paid: 12/17/2020 2:28:39PM
ProjeC—CDescFiptiom`' _ f -
REPLACE 150 AMP PANEL
2 ,
Application�F.ees. _ 5
Electrical Permit Fee $66.25
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.
CONTRACTOR IGNATURE 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-813-780-0021
Building Department
Date Received Phone Contact for Permitting 941 371-0727
It IIIaIal I III a11a
Owner's Name Diana Crowley Owner Phone Number (941)371-0727
Owner's Address 39023 5th Ave,Zephyrhills FL 33542 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 39023 5th Ave,Zephyrhills FL 33542 LOT#
SUBDIVISION PARCEL ID# 12-26-21-0030-00100-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW
CONSTR BX ALL REPAIR
SIGN = = DEMOLISH
INSPROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK Remove and replace exisiting 150 AMP panel,like for like,update grounding system and surge protection.
BUILDING SIZE I SID FOOTAGE HEIGHT II
LLLLCCLLLC"LLCEEE'CU[[L-EC-C L1LE"CE'C'C61EiC3LIE Li CiEi ICCR.ECC LI.ECIE-CLCEXCC LECCCI
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 5250.00 AMP SERVICE 150 PROGRESS ENERGY = W.R.E.C.p
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING SPECIALTY = OTHER [/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
it 111111111
BUILDER COMPANY
SIGNATURE REGISTERED Y/N I rEE CURREN Y/N
Address License#
ELECTRICIAN ^ COMPANY Mister Sparky
SIGNATURE REGISTERED I Y/N I-EE CURREN
Address 624 67th St.Cir E,Bradenton FL 34208 License# EC13008386
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURREN Y/N
Address License#
lllti,Lll/3III [IIf16YlI�[ iliiilEe/tiit�[lfifill[titl!<i1ltltilitiii�7litltititill�tltll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten It 0)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
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 stale 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 property 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'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 regulations,and land development regulations in the jurisdiction.I also certify that I
understand that the regulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identify what actions I
must lake 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 W"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 COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
4aczs--
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by Igth day of Octoberby Bryan Richards
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. (personally known) as identification.
�1�- 5�-e� ►"�e,Jv.-ems
Notary Public Notary Public
Commission No. Commission No.
CBade :Sepm2.2024 CL bAobiy
10/20/2020 11:26 AM`Rcpt:2217201 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
NOTICE OF COMMENCEMENT
Stale of FLORIDA Pasco
of
A.Permit No. B.Parcel/Tax Follo No. 12-26-21-0030-00100-0010
1. Description of Property(legal description of the property,and street address if available):Z HTS MB 5 PG 50 L1 BLK 1 OR 8253 PG 1412
Remove and replace exisding 150 AMP panel,like for like,update
2. General description of improvement(must be work scope specific and match the Permit): grounding system and surge protection.
3. Owner information or Lessee information if Lessee contracted for the improvement:a.Name: Diana Crowley
b.Address: 39023 5th Ave,Zephyrhills FL 33542
c.Interest in property: _ ner
d.Name and address of fee simple titleholder(if different from Owner listed above):
4. Contractor information a.Name: MisterSparky
b.Contractor's Address:624 67th St.Cir E,Bradenton FL 34208
c. Contra or's Ph a Number. (B44)266-9785
5. suretyYes rNo(if applicable,a copy of the payment bond is attached):a.Name: N/A
b.Address: N/A
c.Phone Number: N/A
d.Amount of Bond:$ NA
6. Lender information a.Name: ❑NIA b.Phone: WA
c.tender's Address: WA
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7. a.Namels): ❑WA
b.Address: _______ N/A
c.Phone Numbers of designated persons:_ _ __ WA
8. a.In addition to himself or herself,Owner designates ❑NIA of WA
to receive a copy of Uenor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
b.Phone Number of person or entity designated by owner: _ _ n NIA
9. Expiration date of notice ofcommencement(the expiration date will be 1 year from the date of recording unless a different date is
specified):
WARNING TO OWNER
ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS
UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND
TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
COMMENCEMENT. rl'�
Diana Crowley
Signature of Owner or Lessee,or Lessee's Authorized Signatory's Printed Name and Title/Office
Officer/Director/Partner/Manager
The foregoing instrument was acknowledged before me by means of [I physical presence or X online notarization this 19 day of
October .2o?4by Diana Crowlev (name of person)as Self (type of authority,e.g.officer,
trustee,attorney in fact)for Diana Crowley (name of party on behalf o�f whomninstrument was executed).
�fBCta (Signature of Notary Public-State of Florida)
� � Comr�.fHF103914D
• 2•�� (Print,Type,or Stamp Commissioned Name of Notary)
�litl Personally Known-OR Produced Identification X
Type of Identification Produced FL Driver's License C640-177-61.959-0
Page 1 of 1
ter
Spar
624 67h Street,Circle E.
Bradenton,FL 34208
December 8,2020
City of Zephyrhills
Building Permits
5335 8"Street
Zephyrhills,FL 33542
Re: Authorization Letter to Sign Pick Up Permits
Per direction from a City of Zephyrhills representative,we are requesting to allow the following Mister
Sparky representatives to sign and or pick-p permits.
* Ryan Graham
* Jennifer Diedrich
0 Debra Karacia
0 Anue Justice
0 Britnie Mayhew
Additionally,attached is the following information required by your office in order to be registered with the
City of Zephyrhills:
0 State Certified License
0 Certificate of Liability Insurance
0 Manatee County Business Tax is exempt
* Mister Sparky Phone Number(844)266-9785
If there are additional questions,you may contact Amic Justice,Permitting Manager,at(941)584-2085 or at
amiej(cDt misterspar florida.coiii.
Sincerely,
Mister Sparky lat emd 583
2024
Bryan Richards
Vice President of Operations