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Home My WebLink About04-2851 . r--. I CITY OF ZEPHYRHILLS 5335-th street (813) 780-0020 ELECTRICAL PERMIT 2851 Permit Number: Permit Type: Class of Work: Proposed Use: Contractor: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: --_._-~--- Work Desc: 2851 ELECTRICAL M ISC ELECTRICAL MISC NOT APPLICABLE EAST PASCO ELECTRIC Address: 38329 5TH AVE ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Book: Page: Subdivision: CITY OF ZEPHYRHILLS i ! Name: ROBERT ARNOLD . Address: 38329 5TH AVE ZEPHYRHILLS, FL. 33542 Section: 3/22/2004 35.00 35.00 3/22/2004 ELEC~ISC. I ---1.. Phone: ELECTRICAL FEE 35.00 I I 1 I frf).~~ c~y}- I Y/~~y '3'07 I' - i .. J-1-rJ<- /~ 1/ C ~:r ----- ----..-----..--....--- -- -----.----..-----.---..-.--- ----------..------- ---.--..------.....--..--.---- ----- -- ...----,--..-- l{l:!: .LN::; J:1l:!:C 1 .LUN ~ l:!:l:!:'s =-wneh----e-xrr-a-r-fH3I;re-c-~:tb-n-c:til)sare-n.-ecessary-alie-Eb--- ahy'oh-e- b-~- En-e----- __ __ _____ ___ 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 --nwa.:rhJ:ng----e-o --Owner-:---Y-our---ra1Iure---eo--recora-a:-:O:Oc1ce-0f. comrnencemen-e-.may-reEf1iU..11l 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. V'-;{~vJ12'_~_ CONTRACTOR CALL FOR ~ PERMIT OFFI INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PBRMIT APPLICATION BUILDING Oi.PARTMENT 53,15 8'l'1I St, Zephyrhills, n 33542 813-780-0020 FAX:813-780-0021 OATi: RECEIVED -9 'i () i L.' 1 PHONE CONTACT FOR. PERMITTING OWNER' S N;u..l~~ JOB ADDRESS 3<g~.).. 9 LEGAL DESCRIPTION: 1UT(S) s'f-1n I 5 BLOCK \ 5 g_ SUBDIVISIon C~+~ f ll-:}tp -~\ -0010- I~~O -0 ISD Mber-+ S Ave PHONE ~:J.J..L\ PARCEL 10 # z..-hd Ls WOHK PROPSED: 0 NEW CONSTRUCT'10N o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE\ ~TERA'rION 0 RfPAIR 0 INSTALL o SIGN o MOVE o DEMOLISH PROPOSED OSE: OSGL FA1-1IL'l DWELLING ~MMERCIAL DMULTI-FAMILY o it OF UNITS o SWn-1.Iv1ING POOL o MOBILE HOME o OTHER o INDUSTRIAL o RESTAURANT & HE,ll.LTH DEPARTMENT APPROVAl, DESCRIPTION OF WORK BtlILDH1G SIZE RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING ?LANS & (I) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERl.H'l' ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROFERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING ~ECTFrCAL $ VALUAT!ON OF TOTAL CONSTROCTION At1P SERVICE o Progress Energy 0 ftLR.E.C. o PLUMBING o MECHANICAL $ VALUl\TION OF MECHANCIAL lNSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRlJCTION: 0 BLOCK o FRAt'1E o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS I?FH)JECT IN FLOOD ZONE AREAO YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ~****************************~****.*******w**********.************ ELECTR.ICIAN SIGNATU"RE 'iI\~ ~~ COMPANY fft.sT EA-~(O 8eC~[Cl Trtc. STA'fE CERT OR REGIST # Er:Z. 00 [45<1 I ***********.********.*********w.******************~*************** PLUMBER COMPANY SIGNA'I'URE STATE CERT OR REGIST # HECHAN!CAI.. ******~**************~w~.********~*************+*******.********** GO!1PANY SIGNATURE STATE CERT OR REGIS':' # __ **w~******************~****~*********.*********~**.~*********..** OTHER COMPA.NY SIGNATURE ___. STA.TE CERT OR REGIST ~ ~-- c 6 t iJ 9 . i) ~~ Sll!ri Hd3Z JO A1IJ ~~ZZ:8 tooz 'ZZ'Je~ ~. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed reetrictions~ which may be mOre restrictive than City regulations. The undersigned assumes responsibility fer compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTR.ll.C'TOF RESPONSIBILITIES If the owner has hired a contractor or ccntractors to undertake work, they may be require~ to be licensed in accordance with stat& 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 ar.e advised to contact the City of Zephyrhills Building Department, 813-780-0020: Furthermore, if the owner hae hired a contractor or contractors, he is advised to ha'lE< th8 contractor(sl sign po~tions of the "Contractor Sections" of this application for which they will be responsible. If you, as thG 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 ae contractor that may be an indica~ion that he is not properly license~ and is not entitled to permitting privileges in the City of Zephyrhil1s. C. TRANSPORTA'rrON It-IPACT FEES ANP UTILITY CONNECTION FEES P. CON3'l'RtJCTUION LIEN LAW (CHAPTER 71.3, FLORIDA STATUTES, ,ll.S At--lENDED) I certify that I, the applicant, have been provided with a COpy of "Florida's Construction lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture and C0nsun1er Affairs. If the applicant is some>Jne other that the "owner", I eerily that I have obtained a COpy of the abo7e described document and promise in good faith to deliver it. to the "owner" prior to corn.mencement. E. CONTRACTOR' S/OWNER' S AFFIDAVIT I certify that all thQ lnformation in this application is accurate and that all work will be done in compliance !41th all appli<c~ble laws :regulatin9 construction, zoning, and lanel devel(:>pment. Application is hereby made to obtain a permit to dOt10rk and installation as indicateC'L I c.ertify that no work or installation has commenced prior to issuance of a permit and that all work will b~ performed to meet standards of all laws regulating construction, City codes, z\.)ning regulations, and land de,relcpmant regulations in the j uriscUctJon. I aLlo 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: *Oepartment of Kn'rircnmental Regulation-Cypxess B~lyheads, Wetland Areas and EnVironmentally Sensi ti 'Te Lands, Water/wastewater Treatment *Southl4est Florida Water l'1anagement Di.strict-Nells, Cyp:r:ess BayheadS, Wetland J~reas, Altering Watercourses *Army Corps of Engin~ers-seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-wells, Wastewater Treatment, Septic Tanks .0. S. Envi :ronmental Protecticn Agency-Asbestos a.batem&nt I also certify that, if fill material is to be used in Flood Zone PAn or "A,etc.H, 1t is '..lnrlerstood that a drainage plan add1:essing a "compen88ting volume" will be subm.i.tted !"thien is pr~pared by a professional engineer registered in the State of Florida prior to permit j SSI.lance_ A permit issued shall be construed to be a license to proceed With the work and not as a~thority to violate, cancel, alter, or set aside any prOviSions of the technical codes, nor shall lSSDar.ce of a pet'mi t prevent the E'Cdlding Official from ther8after requh'ing ct correction of errors in plans, 8onstruction, or violations of any code. ~very permit j.ssued Shall became irNalid unless the I-lark authorized by Such permit is cornmenced vdthin six months of i8suance, Ot if Ivork a'..ltho.ri:?ed by ths pe.rrrd.t is .sUSpended Or abandoned fora perio,..! of .six rnonths aftel.' the time the \vork ~s comIl'ienced. One 90 day extension of tlme may be .aLlcHed for the pe.rmit with fee chal"le of ~;15. 00. 'I'he ext€<nsion Shall be requested 1n writing to the Building Official. A~ approved inspection mUst be logged during each six month period, or the project will be considered abandoned, WARNING TO OWNER: YOUR FAILURE, T'O RECORD A [\10'I'T.C2 OF (:ONMENCEMEIU MA.Y RESULT IN YOUR. PAYING TWICE FOR IMPROVEMENTS TO YOUP PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, (~ONSULT WITH YOUR LENDER OR JI.N AT'fORNEr" BEFORE RECORDING YOUR NO'I'ICE OF COHHENCEMENT. .JOBS f.JNDEP $2,500 IN VALUE DO NOT NEED 'ro RECORD AND POS'],' A "NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT --..:... STATE OF FLOH.IDA COUNTY OF __ The foregoing instrument Was acknOwledged B6!fore mE! Una _ d,:'lY of , 2Cl.- by__~_ (name of persOD acknOWledged) Owho is personally known to me, or o Nho has produced__ (type of identifi~ation) and l"he)D diet Ddid not take an oath. SIGNATURE; CONTRACTOR -----..----..- STATE OF FLORIDA COUN'l'Y OF Th8 fcre90ing instrument was acknovlleclged Before me thls _.__day of____, 20 by (name of pers0n acknowI9dg~d) Chho is personally known to me, Or o who has prOduced__ (type and ~...ho 0 did O::!:Ld not: Signature of person taking acknowledgement - of identification) take an cath --- NamA typed, printed or stamped Signature of p~rson taking aCknOwledgment Name typed, printe~ or stamped ---- --Z . d_6t09' or.j_ SlliHd,~Hd3Z jO lIJ 2Z:8 FOD? 'Z2'Je~