HomeMy WebLinkAbout04-2780
CITY OF ZEPHYRHILLS
5335-th street
(813) 780-0020
ELECTRICAL PERMIT
2780~
2780
ELECTRICAL MISC
ELECTRIC SERVICE/NEW
MOBILE HOME PARK
EAST PASCO ELECTRIC
Address: 3437 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): 297 Block: Section:
Book: Page:
Subdivision: EMERALD POINTE
Parcel Number:
Permit N mber:
Permit Type:
Class of Work:
Proposed Use:
Con~ractor:
Squar~ Feet:
Est4 Value:
Improv. Cost:
I Date ~ssued:
Total Fees:
I '
I Amount Paid:
I------Da Paid:
Wor Desc:
3/01/2004
40.00
40.00
3/01/2004 I Phone:
ELEC. TO LANAI AND UTILITY ROOM AND BATHROOM
Name: EMERALD POINT
Address: 3437 PYRITE
ZEPHYRHILLS, FL. 33542
-REl.N,sJ:l.l:ll':'l'l.UN -~:--wne-tr-ext:-ra--nrspe-c-t:ton-t:r-tp-s-are necessary due to anyone of tne
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 nee ~t job site (g) Work not accessible
The paytment of inspection fees shall be made bef.Jre any further permits will be issued to
the pe~son owning same
""TarniIig-eo--owner-:-yQur-raJ.lure to record a notJ.ce--orcoznmencement may result J.n your------
paying twice for improvements to your property. If you intend to obtain financing, consult
with YClUr 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.
>6~
CONTRACTOR
CALL FOR
~
PERMIT OFFI
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION FOR PBmaT
CITY 01' ZBPRYlUIILLS
BUZLDDlG DBPARDmNT
DAD RBCBIVBD 2- -' A & - fJt/
PLARS lUNIBW I'D
PASCO PERMIT SERVICE
1- s<-~ - ~;l"f -7'&9t.f
OWNEW S NAME :; aJr1 G ( a.,r d (noeL
JOB ""DRESS 6~31' P~{'d<.. uolk
)
LEGAL DESCRIPTION: LOT(S) ;;LCJ1 BLOCK
PARC*, ID # J.Lf,;J.fo- ~/- 06li({J --()/)bM-;7t70
~ CONSTRUCTION
PHONE
lot 2-'17, ~~thJ/s) ~ 33s?fo
SUB~IVISIO 6mt~J tJlt}-k-
IORTATN FROM PROPERTY TAX NOTTCE\
I
WORK IPROPSED:
I
o ADDITION
OALTERATION
o REPAIR
o INSTALL
PROPOSED
o SIGN
USE:~GL FAMILY
o COMMERCIAL
o MOVE
o DEMOLISH
DWELLING
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WOBK 1 (A..y/ (1- i I b tL +A J V+ I I, ~
BUIL~ING SIZE --1;A X 3.?-- SQUAIU! FOOTAGE - ,'R!f if' HEIGIl'r
RESI~ENTIAL:
CO~RCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
'Ji ELECTRI CAL
o PLuMBING
o MECIPWICAL $
o GAS 0 ROOFING 0 SPECIALTY
0):2. PERMITS REQUESTED
J /1 O/)/) VALUATION OF TOTAL CONSTRUCTION
,
$
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
FINISHED FLOOR ELEVATIONS
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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BLB~CIAR ~ ~ COMPANY Et:i.~T Fksco EIl'C fr,c-
=, 1 n. Q ,.II , STATE CERT OR REGIST #
SIGNATURE --M L'l-L JJ:~ CITY PROCESSING #
********************** ******************************************
~
SIG"'TURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
***********~******************************************..***********
_~CAL
SIGN~TURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
*****************************************************************
OTII$
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGN~TURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pend t may be ,rubje,c:t: to "deed restrictions" which
may be more restrictive than City regulations. The Lllldend.qned assumes responsibility' for
compliance with any applicable deed restI:ic:tions.
B. UNLICENSED CONTRACTORS AND CON1'RACTOR FlESPONSIBIIJITU:S
If the owne~ ha,s hired a contractor or contractors to underl:ake work, they lIIay 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 contracto.r Inay be cited for a misdemeanor
violation under state law. If the ()wner or intended contrac::tor 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 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 conl:ractor, 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. CONSTRUCTUI0N LIEN LAW (CHAPTER 713, FLORIDA STATUTES, l\S AMENDED)
I certify that I, the applicant, have been provided with a c::opy 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", I cerify that I
have obtained a copy of the above described aocument and promise in good faith to deliver
it to the "owner" prior to cOIlDllencement.
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 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, 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 ipvalid unless the work authorized by such permit is commenced 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 cOIlDllenced. 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 si~
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, CONSUL,]
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 -----Pay of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
acknowledged
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
Ckho is personally known to me, or
o who has produced
(type of identification)
and whoO did Odid not take an oath.
o who has produced
(type of identificati()n
and who Odid [):iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped