HomeMy WebLinkAbout04-3094
CITY OF ZEPHYRHILLS
5335-8th Street
(813) 780-0020
ELECTRICAL PERMIT
3094
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:
3094
ELECTRICAL MISC
ELECTRICAL MISC
MOBILE HOME PARK
CRANDALL, RICHARD
Address: LOTS
ZEP
Township:
Lot(s):
Book:
Subdivision:
Parcel Number:
5
S,
Range:
Block: Section:
Page:
MAJESTIC OAKS
5/20/2004
55.00
55.00
5/20/2004 I Phone:
PEDESTALS 1,2,3,4,5,6:7,8,9, 74 ~_.
Name: MAJESTIC OAKS
Address: LOT 1,2,3,4,5,6,7,8,9 ,74
ZEPHYRHILLS, FL. 33542
7~.Jtl..~_~//LJf,IY1. (})~li'&~jL -~-
(Pfl7,1:rjjJ,-f ~ 'rJ- u. -iT
ROUGH ELECTRIC
: FINAL
.--.L
I
I-~~~~~~~~J.~~a~~~:: :h~~a~~;r~f l~~l~~~~~~~r~~~-;:~: ~~~~~~~.( S~~~l t~e a~~~-~-n~~~~~~~~i;--for
each trade:
I (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
--uwa:rn1ng----e-o-owner:--rour----raiTure-t.o-r-eco:i::"Q-anot:i:Ce of-c:ommencem~m:a:y-:i::"esurt J.n-yotir----..
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.
~
--_.~._-
CONTRACTOR
CALL FOR
~
PERM IT OFFI
INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~~
APPLICATION FOR PERKIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
OWNER'S ADDRESS
O;f~
!1Ji(EL v:/ Ltfr
PHONE
OWNER'S N
(jlf/D.
JOB ADDRESS
..J,A--Mf A-S A.6Ne
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL I. D.'
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPOSED:_New Construction ~ddition _Alteration _Repair _Install
_Sign _Move _Deaolish ~J;2.~
PRJ1(n-t dC/res sc,
PROPOSED USE: _Single Faaily _M/F _' of Units _M/H
DESCRIPTION OF WORK:
S.3- P I _Other)fl T LI <; f 0~
_ W.u.. 00
,L~./
b Ivcl,
Pet&i!J/J ~ t (p 7 J 7 'f
&c/ ~-P--ty IC ~f?r s f.
/-..0 T rf cf"G ;{ '(I L' .
ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. ;.0
ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
_Indust.
_eo..ercial
_Restaurant &: Health Departaent Approval
~f=.
L~,-/'- .2? J J..j S; ~ 1/ ff~1 7 Y
BUILDING SIZE:
x
Square Feet,
Height
RESIDENTIAL:
COMMERCIAL :
PERMITS REOUESTED
_BUILDING
$
Valuation of Total Construction
_ELECTRICAL
AtIP Service
Florida Power Corp.
W.R.E.C.
_MECHANICAL
$
Valuation of Mechanical Installation
_PLUMBING GAS ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block _Fraae _Steel
Other
FINISHED FLOOR ELEVATIONS:
Fr.
IS PROJECT IN FLOOD ZONE AREA?
YES NO
******************************************
CONTRACTOR SECTION
BIJTI.DER
COMPANY
State Cert. or Regist. f
City License Registration .
******************************************
Signature
RT.RCTRICIAN COMPANY&ft1';( d rd2AA/l:J4-L L
'"/. tJ J /' State Cert. or Regist.' 6'
SismAture /T ~/;hU1. / ' (A ,;~ City License Registration' 01;Z
******************************************
PLUMBER
COMPANY
State Cert. or Regist. t
City License Registration f
******************************************
Signature
..
MECHANICAL
COMPANY
State Cert. or Regist. t
City License Registration t
******************************************
Signature
OTRRR
COMPANY
State Cert. or Regist. t
City License Registration #
******************************************
Signature
APPLICATION APPROVED BY
PERMIT OFFICER.
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
fbe undersigned understands tbat this perJit laY be subject to 'deed restrictions" wbieb lay be lOre restrictive than City
regulations. 'be undersigned assUles responsibility for COIpliance with any applicable deed restrictions.
---
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner bas bired a contractor or contractors to undertake work, tbey laY be required to be licensed in accordance with
state and local regulations. If tbe contractor is not licensed as required by law, both the owner and contractor laY be
cited for a lisd8leanor violation under state law. If the owner or intended contractor are uncertain as to wbat licensing
requir8lents laY apply for the intended work, they are advised to contact the City of Zepbyrbills Building Departlent, (813)
788-6611.
FurtherlOre, if the owner bas bired a contractor or contractors, be is advised to bave the contractor(s) sign portions of the
DContractor Sections' of this application for wbicb they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather tban the contractor, are responsible for the work. If the contractor wisbes you to sign
as contractor that lay be an indication that be is not properly licensed and is not entitled to peraitting privileges in the
City of Zepbyrbills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION 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 - HoIeor.oer's Protection
Guide" prepared by the Florida DepartJent of Agriculture and ConsUler Affairs. If the applicant is sOROlle other than the
lowner", I certify that I bave obtained a copy of the above described dOCUl8Dt and prOlise in good faith to deliver it to the
"ownerD prior to cOlleDceaent.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
applicable laws regulating construction, zoning, and land developaent.
Application is bereby lade to obtain a perJit to do work and installation as indicated. I certify that no work or
installation has COIIeDced prior to issuance of a perJit and that all work will be perforJed to aeet standards of all laws
regulating construction, City codes, zoning regulations, and land developleDt regulations in the jurisdiction. I also
certify that I understand that the regulations of other govel'Dlelltal agencies laY apply to the intended work, and that it is
IY responsib,ility to identify wbat actions I lust take to be in cOlpliance. Sueb agencies include but are not luited to:
* Departlent of EnvirODlental Regulation - Cypress Bayheads, Wetland Areas and Environaentally Sensitive Lands,
Water/Wastewater TreatJent
* Southwest Florida Water Hanageaent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
* ArJY Corps of Engineers - Seawalls, Docks, Navigable Waterways
* DepartJent of Health & ~ehabilitative Services; EnvirODJeDtal Health Unit - Wells, Wastewater TreatJent, Septic lanks
* US EnviIODlental Protection Agency - Asbestos abateJeDt
I also certify that, if fill laterial is to be used in Flood Zone lAD or DA,etc.D, it is understood that a drainage plan
addressing a 'cOlpeDsating VOIUleR will be subJitted wbieb is prepared by a professional engineer registered in the State of
Flotida prior to perlit_ issuance.
A perJit 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 sball issuance of a perJit prevent the Building Official frOJ thereafter
requiring a correction of errors in plans, construction, or violations of any code. Bvery petlit issued shall beCOJe invalid
unless the work authorized by such perJit is cOJJenced within six IOnths of issuance, or if work authorized by the perJit is
suspended or abandoned for a period of sil IOntha after the tile the work is c~ced. One 90 day extension of tiJle, lay be
allowed for the perJltwith fee ebarge of $15.00. Ihe extension shall be requested in writing to the Building Official. An
approved inspection lUst be logged during eaeb sil IODth period, or the project will be considered abandoned.
WARNIHG ro OWNER: YOUR FAILURE 10 RECORD A NOTICE OF C<IIMBRCBIIEMI HAY RESULT IN YOUR PAYING BICE FOR IMPROVEIIDl'S 10 YOUR
PROPBR'fY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LlIfDER OR AN AftORRBY BEFORE RECORDIHG YOUR DICE OF
COHHENCEHEtn' . JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COHMDCEHBNI'.
, 1~ ~ ~'
. 4' (/A-e' / Af'LA~ /~-6J f ~ /AA/
IS GNA~ 0VNi{ OR AG ' IGNATURE: COtn'RACTO
STArE OF FLORIDA
coum OF
The foregOing instrument was acknowledged
before me this , 19 by
--
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
before me this , 19_ by
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(Signature)
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY PUBLIC
MAJESTIC OAKS RV RESORT
3751 LAUREL VALLEY BLVD
ZEPHYRHILLS, FL 33542
PHONE: 813-783-7518
. ~JO!i--
fiR- i! /)j !/
PLEASE INSTALL METERS IN THE FOLLLs
LOT # STREET ADDRESS
2 3701 LAUREL V ALLEY BLVD
3 3705 LAUREL VALLEY BLVD
4 3709 LAUREL VALLEY BLVD
5 3713 LAUREL VALLEY BLVD
6 3717 LAUREL VALLEY BLVD
7 3721 LAUREL VALLEY BLVD
8 3725 LAUREL VALLEY BLVD
9 3729 LAUREL VALLEY BLVD
14
39635 HAZEL TINE AVE