HomeMy WebLinkAbout04-2617
CITY OF ZEPHYRHILLS
ELECTRICAL PERMIT
2617
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:_
2617
ELECTRICAL MISC
ELECTRICAL MISC
NOT APPLICABLE
Address: 3505 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 302 Block:
1/06/2004
35.00
35.00
Name: CARTER, CHARLIE
Address: 3505 PYRITE DR
ZEPHYRH ILLS, FL. 33542.._________________
EAST PASCO ELECTRIC
(813)713-4570
ELECTRICAL FEE
35.00
i ROUGH ELECTRIJ..:z/tI!of
i /-1
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CONSTRUCTION POLE
: PRE-METER
FINAL/3 /'L l1(tII (.;.J(/
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of
Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
~~..... .--- ~~
CONTRAC 0 PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLlCA'fiOR I'OIl PDYIT
Cln 01' ZBPBYRHILLS
BUXLDIBG DBPARDOD1T
LEGAL DESCRIPTION: LOT(S)
C.o.rt ~f-
RJrih.~
I
3o~
DAm RBCBXVBD / ..~()4
PLMfS RBVIBIf I'D
PASCO PERMIT SERVICE
813-788-5314
PHONE I -<groG, - ~J.L( - 7 cg(1 t/
OWNER'S NAME ~ h&~ \ I -;"
JOB ADDRESS ~5 0 .s-
Dr.
SUBDIVISION ~ me.rald FbIVJ.'tc
BLOCK
PARCEL 10 # ,~4 - .;U", - ~ {- c/05D- DCCCO- ~3 0 ~D
{OBTAIN FROM PROPERTY TAX NOTICE}
WORK PROPSED: ~EW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
DSIGN
PROPOSED USE: ~GL F~LY DWELLING
o MOVE
o DEMOLISH
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH
DESCRIPTION OF WORK Aof'C-:tSC'''';-
I~ X3~
DEPARTMENT APPROVAL
BUILDING SIZE
Ut,1 ,< ~ 1<00Yk--
SQUARE FOOTAGE .3 S L{
HEIGHT
& (1) SET~=~.'\
FOPHS'(1fJ&IZ !
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RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
I!I ELECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
[JGAS
o ROOFING
o SPECIALTY
o OTHER
o FLORIDA POilER 0 W.R.E,C';J-
VALUATION OF MECBAHCIlIL INSTALLATION ~kA~
;;;':b ) i
doJY
o STEEL
o OTHER
AMP SERVICE
o PLUMBING
o MECHANICAL $
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES 0 NO
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BUXLDD
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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SIGNATURE' ]\la~
'- COMPANY S-4c,i- Pasc.o Elecfn'c
jf' p STATE CERT OR REGIST #
- --~--- CITY PROCESSING #
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PL1JMBIal
SIGNATURE
COMPANY'
STATE CERT OR REGIST #
CITY PROCESSING #
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YBCBMIlCAL
COMPANY-
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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cr.t'IIBR
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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CONDITIONS OF PERMIT AFF~DAVI~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pennit may be E:WYje,c:t: 1:0 "deed restrictions" which
may be more restrictive than City regulations. The Llnd.~u;iqned assumes responsibility ~or
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBI [,I'rIE:~:
If the owner has hired a contractor or contractors t:. 'lnde,rtake work, they Dlay be required
to be licensed in accordance with state and local regulilt.Jonn. If the contractor is not
licensed as required by law, both the owner and contr-ad:cor. muy be cited for a misdemeanor
violation under state law. If the owner or intended contTact:or are uncertain as to what
licensing requirements may apply for the intended work" they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or c:ont:ractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" Qf t:his application for which the~
will be responsible. If you, as the owner signs as thc~ cQntractor, you are indicating that
you, rather than the contractor, are responsible for thE! 'iYork. If the contractor wishes
you to sign as contractor that may be an indication that: he is not properly licensed and if
not entitled to permitting privileges in the City of Zc~phyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION H'~E:S
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATlP.rgS" M; AMENDED)
I certify that I, the applicant, have been provided wi1:h a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by tllE! :rloJ:ida Department of Agriculture
and Consumer Affairs. If the applicant is someone ot,hc~J: .that: the "owner", I cerify 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..
E. CONTRACTOR' S/OWNER' S AFFIDAVIT,
I certify that all the information in this application is aCGurate and that all work will
be done in compliance with all applicable laws regula.ting cOIlstruction, zoning, and land
development.
Application is hereby made to obtain a permit to do wod~ ;ilnd installation as indicated. I
certify that no work or installation has commenced p,riOJ: lto issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regula1:iolllS in the jurisdiction. I also
certify that. I understand that the regulations of othe:r g,:>vernmental agencies may apply to
the intended work, and that it is my responsibility t.o identify what actions I must take tc
be in compliance. Such agencies include but are not l:~dted to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland AreiUJ ;ilnd Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypl:ess Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Wait;E~rways
*Department of Health & Rehabilitative Services, Envirc)IWental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatemellt:
I also certify that, if fill material is to be used in Irlood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in thE! State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to pJ:oceed with the work and not as
authority to violate, cancel, alter, or set aside any pJ:ovisions 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 violati()ns of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuanc:e, or if work authorized by the peJrndt is suspended or abandoned for a
period of six months after the time the work is commencE!d. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00.. The extension shall be requested
in writing to the Building Official. An approved inspec:tion must be logged during each six
month period, or the project will be considered abandonl~.
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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of .
by
.
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this day of
by
acknowledged
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
[lho is personally known to me, or
o who has produced
(type of identification)
and whoDdid Ddid not take an oath.
Dwho has produced
(type of identification)
and who Ddid [}tid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped