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Home My WebLink About04-2752 CITY OF ZEPHYRHILLS 5335-th street (813) 780-0020 ELECTRICAL PERMIT 2752 Permit umber: Pernlit Type: Class of Work: Propos~d Use: co~tractor: Squa e Feet: Es . Value: Improjv. Cost: Date Ilssued: Tot.1 Fees: Amo nt paid:1 ' Da e Paid: Phone: Wo Desc: ADD NEW SERVICE FOR EXISTING 200 AMP PANEL NORTH SIDE OF SHOWER HOUSE 2752 ELECTRICAL MISC ELECTRICAL MISC COMMERCIAL REESE ELEC. 2/17/2004 Address: 4241 SKY DIVE LN ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS , Parcel Number: Address: 4241 SKY DIVE LN ZEPHYRHILLS, FL. 33542 Section: ~ -;}. 5~O<f L ~ /fl5fec( (2(1 AloT'l/,^y 10 {P J.. -2~ -0,/ r.j:J.'/ piJll~ f;t I I~-~----~---------.---...J._-.__.-_______._._...L____...__~_____'___ K~.L.N::;~J:!;4.:1.LU.N LoJ:!;J:!;::;: whetl----eXEra-insp~ec-t:~on___e:rtps are necessary aue-ECfcmy-one of1:l1e----- followig reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each tr de: (a) Wro g address (b) Condemned work resulting from faulty construction (c) Repairs or correct ons not made when inspection called (d) Work not ready for inspection when called (e) Pe it not posted on job site (f) Plans not at job site (g) Work not accessible The pa ent of inspection fees shall be made before any further permits will be issued to the per on owning same '.-nwa.rn1I1 F1:Oowner:--YOUr----ra1ru:re----co-record a notice~orcommencemen~may resu-n:-tn-your--- paying wice for improvements to your property. If you intend to obtain financing, consult with YOlr lender or an attorney before recording your notice of commencement." Complet Plans, Specifications and Fee Must Accompany Application. All work shall be perform d in accordance with City Codes and Ordinances. x~ --lcjoN~~~ (<. ! CALL FOR ~ PERMIT OFFI INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECEIVED PHONE CONTACT FOR PERMITTING ~ I ~ .'1'& ~ . 009 l OWNER'S NAME Gt'1 of Z-epnLpniIL~ JOB ADDRESS lt~'+l Sk'( 01% lo.A~ PHONE 7.gp~qr hi' ~ t=L '2> 2>~ LEGAL! DESCRIPTION: LOT(S) BLOCK PARCEl, ID# '~'~b~da .ODIO.O~<O<x"") SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) WORK It'ROPSED: DNEW CONSTRUCTION [JSIGN ~ADDITION o MOVE DALTERATION [J REPAIR [J INSTALL o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING CicOMMERCIAL DMULTI-FAMILY [J INDUSTRIAL 0# OF UNITS [JSWIMMING POOL o MOBILE HOME [J OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRl1PTION OF WORK Add f\€.u) Ser-u,'u.., for e.lJi~-h'f'\~ 2ee ~ put")d (()('\ +h~ ~ r+Y\ .:si~ o-f. 'Oo...i'nrat)N\ / ShOUJ ~ ~0~<..... BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (I) SET ENERGY FORMS. COMMEiRCIAL: ATTACH (3) SETS OF BUILDING PLANS & (]) SET ENERGY FORMS. IF' SIGN PERMn ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING BJ ELECTkICAL $ VALUATION OF TOTAL CONSTRUCTION aOO AMP SERVICE ~ FLORIDA POWER [J W.R.E.C. o PLUMBfNG I o MECHAljlICAL o GAS 10 ROOFING $ [J SPECIALTY VALUATION OF MECHANCIAL INSTALLA'rrON [J OTHER TYPE O~' CONSTRUCTlON: 0 BLOCK D FRAME [J STEEL D OTHER FINISH~D FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO " W::,~ .' 'm" /);:;:8'1;" 'I' 'm'.'S"i!" . "". ?~... .' ..""'. "". -".-' " ",' ....;./,)- .,.' '. c"-,.:'. .,"',."..,.',,,.......,.,.....,,.....,., BUILDE~ i , COMPANY SIGNATulRE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY&e.s.e.. EI-e.ctn'<..o. i. .11-)<...-. SIGNATU~E ~~. R 0 . STATE CERT OR REGIST # Ec.. l3COI2>53 I ****************************************************************** PLUMBER SIGNATU~E COMPANY STATE CERT OR REGIST # MECHAN I4:AL I SIGNA'l'U~E ****************************************************************** COMPANY STATE CERT OR REGIST # ***************************************************************** OTHER i SIGNATU~E COMPANY STATE CERT OR REGIST # --.~----_._.,.~-------- A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-780-0020. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", 1 cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ov-mer" prior to corrunencement. E. 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 inst~llation 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment *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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood 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 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 code. Every permit issued shall become invalid unless the work authorized by such permit is cownenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is corrunenced. 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 inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". ~~. SIGNATURE: CO~CTOR ~.ft .J SIGNATURE: OWNER OR AGENT acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument W39 acknowledged Before me this _day of 20 by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by (name of person acknowledged) Qho is personally known t.o me, or (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and wrioD did D did not of identification) take an oath. Dwho has produced (type of identification) and who Ddid O:lid not take an oath Signature of person taking acknowledgement Signature of person taking ackno\vledgment Name typed, printed or stamped Name typed, printed or stamped .. AJ..j., ~~ ~,,\)~,..co.... ~~4.~t&;). 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